MedicaidPrior AuthLow impact
5160-41-12 - Home and community-based services waivers - request for prior authorization for individuals enrolled in the individual options waiver. (Rescind/Final File)
Ohio Medicaid·OH·Prior Authorization
Effective date
Feb 1, 2018
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has rescinded rule 5160-41-12 regarding prior authorization requirements for home and community-based services waivers under the individual options waiver program. This rule rescission became effective February 1, 2018, eliminating specific prior authorization procedures for these waiver services.
Action Required
No immediate action required. This is a historical rescission from 2018 that eliminated prior authorization requirements for Ohio Medicaid home and community-based services waivers under the individual options program. Billing teams should be aware that current prior authorization processes for these services may be governed by different, more recent policies.