MedicaidAdministrativeLow impact
5160-36-05 - Program of all-inclusive care for the elderly (PACE)interdisciplinary team, participant plan of care, and services. (Amend/Final File)
Ohio Medicaid·OH · Geriatrics, Family Medicine, Internal Medicine·Managed Care
Effective date
Jan 1, 2020
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid has updated Rule 5160-36-05 governing PACE program interdisciplinary team requirements, participant care plans, and services. This affects billing and care coordination for elderly patients enrolled in Ohio's PACE Medicaid managed care program.
Action Required
Review updated Ohio PACE program requirements for interdisciplinary team documentation and participant care plans. Billing teams serving PACE participants should verify compliance with current care coordination and service delivery documentation standards.