MedicaidCoverageMedium impact
5160:1-6-02.2 - Medicaid: treatment of qualified long-term care insurance policies. (Amend/Final File)
Ohio Medicaid·OH·Specialty Services
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Summary
Ohio has amended its Medicaid policy regarding the treatment of qualified long-term care insurance policies, effective January 1, 2024. This policy change affects how Medicaid evaluates and processes claims when patients have qualified long-term care insurance coverage.
Action Required
By January 1, 2024: Billing team must review Ohio Medicaid eligibility and coverage protocols for patients with qualified long-term care insurance policies. Update patient intake forms to capture long-term care insurance information. Verify coordination of benefits procedures with Ohio Medicaid for affected patients to ensure proper claim processing and avoid denials.