MedicaidAdministrativeLow impact
5160-44-26 - Nursing facility-based level of care home and community-based services programs: community transition services. (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 5160-44-26 regarding community transition services for nursing facility-based level of care programs, with the final amendment taking effect January 1, 2024. This policy governs services that help transition patients from nursing facilities to community-based care settings.
Action Required
By January 1, 2024: Billing teams serving Ohio Medicaid patients in nursing facility transition programs should review the updated Rule 5160-44-26 to ensure compliance with any revised service requirements or documentation standards. Contact Ohio Department of Medicaid at 614-752-3877 for specific billing guidance if your practice provides community transition services.