MedicaidCoverageMedium impact
5160-33-03 - Eligibility for the medicaid funded component of the assisted living program. (Amend/Final File)
Ohio Medicaid·OH · Geriatrics, Family Medicine, Internal Medicine·Enrollment
Effective date
Sep 7, 2023
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid has amended Rule 5160-33-03 regarding eligibility criteria for the Medicaid-funded component of the assisted living program. This is the most recent amendment in a series of ongoing policy updates, with the final filing completed on August 28, 2023, and effective September 7, 2023.
Action Required
By September 7, 2023: Billing teams serving assisted living facilities in Ohio must review updated Medicaid eligibility criteria for assisted living program components. Verify patient eligibility using new criteria before submitting claims. Contact Ohio Department of Medicaid at 614-752-3877 for clarification on specific eligibility requirements.