MedicaidAdministrativeMedium impact
5160-44-01 - Nursing facility-based level of care home and community-based services programs: home and community-based settings. (Amend/Final File)
Ohio Medicaid·OH · Geriatrics, Family Medicine, Internal Medicine·Specialty Services
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has updated Rule 5160-44-01 regarding nursing facility-based level of care home and community-based services programs, specifically addressing home and community-based settings requirements. This amendment affects billing and service delivery standards for nursing facility-level care provided in community settings.
Action Required
By January 1, 2024: Billing teams serving Ohio Medicaid patients must review updated requirements for nursing facility-based home and community-based services programs. Contact Ohio Department of Medicaid at 614-752-3877 for specific billing guidance and ensure compliance with new home and community-based settings standards for applicable services.