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MedicaidReimbursementLow impact

5160-33-07 - Assisted living home and community based services (HCBS) waiver rate setting. (Amend/Final File)

Ohio Medicaid·OH · Geriatrics, Family Medicine·Reimbursement
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

Ohio Medicaid has updated Rule 5160-33-07 regarding rate setting for assisted living home and community-based services (HCBS) waiver programs. This is a reimbursement policy change that affects how rates are established for HCBS waiver services in Ohio.

Action Required

Action needed
No immediate action required for most medical practices. This policy primarily affects assisted living facilities and HCBS waiver providers in Ohio. Billing teams serving patients with HCBS waivers should monitor for any rate changes that may affect reimbursement for coordinated care services.

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