MedicaidReimbursementLow impact
5160-3-58 - Nursing facilities (NFs): quality indicators and quality payment rate. (Rescind/Final File)
Ohio Medicaid·OH · Geriatrics, Internal Medicine, Family Medicine·Reimbursement
Effective date
Jul 10, 2022
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid has rescinded rule 5160-3-58 regarding quality indicators and quality payment rates for nursing facilities. This policy change eliminates the previous quality-based payment structure for Medicaid nursing facility services in Ohio.
Action Required
No immediate action required for typical healthcare practices. This policy specifically affects nursing facilities participating in Ohio Medicaid quality payment programs. If your practice bills for services provided in nursing facilities under Ohio Medicaid, verify current reimbursement rates and quality reporting requirements with Ohio Department of Medicaid.