MedicaidAdministrativeLow impact
5160-36-03 - Program of all-inclusive care for the elderly (PACE) eligibility. (Rescind/Final File)
Ohio Medicaid·OH · Geriatrics, Family Medicine, Internal Medicine·Enrollment
Effective date
Nov 5, 2023
We identified it
Jun 20, 2026
Summary
Ohio has rescinded Rule 5160-36-03 regarding PACE (Program of All-Inclusive Care for the Elderly) eligibility effective November 5, 2023. This appears to be part of a policy restructure where the old rule was rescinded and simultaneously replaced with a new version titled 'Medicaid funded program of all-inclusive care for the elderly (PACE) eligibility.'
Action Required
No immediate action required for billing teams unless your practice serves PACE participants in Ohio. If you do serve PACE patients, review current eligibility verification processes to ensure compliance with the updated Ohio Medicaid PACE eligibility requirements effective November 5, 2023.