MedicaidReimbursementLow impact
5160-3-16.31 - Nursing facilities (NFs): private room incentive payment reimbursement. (New/Emergency)
Ohio Medicaid·OH · Geriatrics·Reimbursement
Effective date
Nov 30, 2023
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid has implemented an emergency rule creating a new private room incentive payment reimbursement program for nursing facilities. This creates additional reimbursement opportunities for qualifying nursing facility services in Ohio.
Action Required
For billing teams working with Ohio nursing facilities: Review the full rule text at the Ohio Department of Medicaid to understand eligibility criteria and billing procedures for the new private room incentive payments. Contact Tommi Potter at 614-752-3877 for clarification on implementation requirements.