MedicaidAdministrativeMedium impact
5160:1-6-02.3 - Medicaid: continuing care retirement communities, life care communities, and philanthropic long-term care facilities. (New/Final File)
Ohio Medicaid·OH·Specialty Services
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid has implemented a new rule (5160:1-6-02.3) governing Medicaid coverage for continuing care retirement communities, life care communities, and philanthropic long-term care facilities. This policy became effective January 1, 2024, replacing previous guidance from 2017.
Action Required
By January 1, 2024: Billing teams serving patients in Ohio continuing care retirement communities, life care communities, or philanthropic long-term care facilities must review and update Medicaid billing procedures to comply with new Ohio rule 5160:1-6-02.3. Contact Ohio Department of Medicaid at 614-752-3877 for specific billing requirements under the new rule.