MedicaidAdministrativeLow impact
5160-3-43.1 - Nursing facility (NF) case mix assessment instrument: minimum data set version 3.0 (MDS 3.0). (Amend/Final File)
Ohio Medicaid·OH·Specialty Services
Effective date
Mar 1, 2016
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid has updated Rule 5160-3-43.1 regarding the Minimum Data Set (MDS) 3.0 assessment instrument used for nursing facility case mix determinations. This policy change affects how nursing facilities conduct resident assessments for Medicaid reimbursement purposes.
Action Required
No immediate action required for typical medical billing teams. This policy specifically governs nursing facility assessment procedures for Ohio Medicaid case mix determinations, not standard medical practice billing.