MedicaidAdministrativeLow impact
5160-59-05.3 - OhioRISE home and community-based services waiver: secondary flex funds. (New/Final File)
Ohio Medicaid·OH · Pediatrics, Psychiatry, Family Medicine·Managed Care
Effective date
Jul 1, 2022
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid has established Rule 5160-59-05.3 defining secondary flex funds under the OhioRISE home and community-based services waiver program. This rule became effective July 1, 2022, and provides guidance for billing and utilizing these specialized Medicaid waiver funds for qualifying services.
Action Required
Ohio providers serving OhioRISE waiver participants should review Rule 5160-59-05.3 to understand secondary flex fund utilization requirements. Contact Ohio Department of Medicaid at 614-752-3877 for specific billing guidance related to these waiver services.