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MedicaidCoverageMedium impact

5160:1-6-01.1 - Medicaid: definitions relating to eligibility for long-term care services. (Amend/Final File)

Ohio Medicaid·OH · Geriatrics, Family Medicine, Internal Medicine +3 more·Enrollment
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Days to comply

Summary

Ohio amended Medicaid definitions relating to eligibility for long-term care services, effective January 1, 2024. This policy change updates the criteria and definitions used to determine patient eligibility for Medicaid-covered long-term care services in Ohio.

Action Required

Action needed
By January 1, 2024: Billing team should review updated Ohio Medicaid eligibility definitions for long-term care services to ensure accurate patient eligibility verification. Update eligibility verification procedures to reflect new definitions. Contact Ohio Department of Medicaid at 614-752-3877 for clarification on specific eligibility criteria changes.