MedicaidAdministrativeLow impact
5160-3-43.2 - Nursing facilities (NFs): case mix classification system - resource utilization groups (RUG). (New/Final File)
Ohio Medicaid·OH · Geriatrics·Medical Policy
Effective date
Mar 1, 2016
We identified it
Jun 20, 2026
Summary
Ohio Medicaid updated rule 5160-3-43.2 regarding nursing facility case mix classification and resource utilization groups (RUG) system. This policy change affects how nursing facilities are classified and reimbursed under Ohio Medicaid, with the most recent version effective March 1, 2016.
Action Required
No immediate action required for typical medical billing teams. This policy specifically affects nursing facilities participating in Ohio Medicaid's case mix classification system. If your practice provides services to nursing facility residents, review current billing procedures to ensure compliance with Ohio Medicaid RUG classification requirements.