MedicaidReimbursementLow impact
5160-3-17 - Nursing facilities (NFs): payment methodology for the provision of outlier services. (Rescind/Final File)
Ohio Medicaid·OH·Reimbursement
Effective date
Sep 22, 2018
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has rescinded Rule 5160-3-17 regarding payment methodology for outlier services in nursing facilities. This rule, which governed special payment calculations for high-cost patient care in nursing facilities, was officially eliminated on September 22, 2018, and no longer applies to Ohio Medicaid billing.
Action Required
No immediate action required for most healthcare practices. This rescinded rule only affected nursing facility billing for Ohio Medicaid outlier services, which was eliminated in 2018. Billing teams should ensure they are not using any outdated billing procedures related to this rescinded Ohio Medicaid nursing facility payment methodology.