MedicaidReimbursementLow impact
5160-3-43.3 - Nursing facilities (NFs): calculation of case mix scores. (Amend/Final File)
Ohio Medicaid·OH·Medical Policy
Effective date
Dec 31, 2020
We identified it
Jun 20, 2026
Summary
Ohio Medicaid updated Rule 5160-3-43.3 regarding calculation of case mix scores for nursing facilities (NFs). This is an administrative rule change that affects how nursing facility reimbursement rates are calculated based on patient acuity levels.
Action Required
No immediate action required for typical medical billing teams. This rule primarily affects nursing facilities' Medicaid reimbursement calculations rather than outpatient medical billing operations.