MedicaidCoverageLow impact
5160-12-02 - Private duty nursing services: provision requirements, coverage and service specification. (Amend/Final File)
Ohio Medicaid·OH · Family Medicine, Internal Medicine, Pediatrics +1 more·Medical Policy
Effective date
Mar 7, 2021
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has updated Rule 5160-12-02 regarding private duty nursing services, with changes to provision requirements, coverage specifications, and service delivery standards. This is the most recent amendment in a series of updates, with the last final filing occurring on March 7, 2021.
Action Required
Review current private duty nursing service billing procedures for Ohio Medicaid patients to ensure compliance with updated provision requirements and coverage specifications. Contact Ohio Department of Medicaid at 614-752-3877 for specific rule details if your practice provides or bills for private duty nursing services.