MedicaidAdministrativeMedium impact
5160-45-01 - Ohio department of medicaid (ODM) -administered waiver program: definitions. (Amend/Final File)
Ohio Medicaid·OH·Medical Policy
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid updated Rule 5160-45-01 defining terms for ODM-administered waiver programs, effective January 1, 2024. This is a definitions update that may affect how waiver services are categorized and billed for Ohio Medicaid patients.
Action Required
By January 1, 2024: Billing team should review updated definitions for Ohio Medicaid waiver programs to ensure proper service categorization and billing compliance. Contact Ohio Department of Medicaid at 614-752-3877 for clarification on any waiver service billing questions. Monitor for specific billing guidance related to the updated definitions.