MedicaidAdministrativeMedium impact
5160:1-6-05 - Medicaid: treatment of income and resources for spouses who are both seeking medicaid payment for long-term care (LTC) services. (Amend/Final File)
Ohio Medicaid·OH·Reimbursement
Effective date
Dec 1, 2023
We identified it
Jun 20, 2026
Summary
Ohio Medicaid updated Rule 5160:1-6-05 regarding income and resource treatment for married couples who are both seeking Medicaid payment for long-term care services. This amendment affects eligibility determination and financial assessment procedures for dual-spouse LTC cases.
Action Required
By December 1, 2023: Billing and eligibility verification staff must review updated Ohio Medicaid guidelines for married couples both seeking LTC services. Update patient eligibility verification procedures to account for revised income and resource treatment rules. Contact Ohio Department of Medicaid at 614-752-3877 for clarification on specific cases involving dual-spouse LTC eligibility.