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MedicaidReimbursementMedium impact

5160-3-57 - Nursing facilities (NFs): tax cost add-on. (Rescind/Final File)

Ohio Medicaid·OH · Family Medicine, Internal Medicine, Geriatrics·Medical Policy
Effective date
Sep 22, 2018
We identified it
Jun 20, 2026
Days to comply

Summary

Ohio Medicaid has rescinded Rule 5160-3-57 regarding tax cost add-ons for nursing facilities, replacing it with a new tax costs payment rate structure. This affects billing and reimbursement for services provided to Medicaid patients in nursing facilities.

Action Required

Action needed
Review current billing practices for services provided to Medicaid patients in Ohio nursing facilities to ensure compliance with the new tax costs payment rate structure rather than the previous tax cost add-on methodology. Verify that billing systems reflect current Ohio Medicaid reimbursement rules for nursing facility services.