MedicaidCoverageMedium impact
5160-51-04 - Helping Ohioans move, expanding choice (HOME choice) program definitions of covered services and provider qualifications. (Rescind/Final File)
Ohio Medicaid·OH·Medical Policy
Effective date
Mar 1, 2020
We identified it
Jun 20, 2026
Summary
Ohio's HOME Choice Medicaid waiver program rule 5160-51-04 has been rescinded/finalized, affecting definitions of covered services and provider qualifications for home and community-based services. This impacts billing for long-term care services provided to Medicaid beneficiaries transitioning from institutional to community settings.
Action Required
By March 1, 2020: Providers serving Ohio Medicaid HOME Choice program participants must review updated covered service definitions and provider qualification requirements. Billing team should verify current provider credentials meet new specifications and update service authorization procedures for home and community-based services. Contact Ohio Department of Medicaid at 614-752-3877 for clarification on specific billing requirements.