5160 - Ohio Department of Medicaid
- Chapter 5160-1 - General Provisions (§ 5160-1-01 to 5160-1-97)
- Chapter 5160-2 - Hospital Services (§ 5160-2-01 to 5160-2-79)
- Chapter 5160-3 - Long-Term Care Facilities; Nursing Facilities; Intermediate Care Facilities for the Individuals with Intellectual Disabilities (§ 5160-3-01 to 5160-3-99)
- Chapter 5160-4 - Physician Services (§ 5160-4-01 to 5160-4-36)
- Chapter 5160-5 - Dental Services (§ 5160-5-01 to 5160-5-11)
- Chapter 5160-6 - Vision Care Services (§ 5160-6-01 to 5160-6-12)
- Chapter 5160-7 - Podiatric Services (§ 5160-7-01 to 5160-7-04)
- Chapter 5160-8 - Therapeutic and Diagnostic Services (§ 5160-8-01 to 5160-8-53)
- Chapter 5160-9 - Pharmacy Services (§ 5160-9-01 to 5160-9-14)
- Chapter 5160-10 - Medical Supplies, Durable Medical Equipment, Orthoses, and Prosthesis Providers (§ 5160-10-01 to 5160-10-36)
- Chapter 5160-11 - Independent Laboratory and X-Ray Services (§ 5160-11-01 to 5160-11-31)
- Chapter 5160-12 - Ohio Home Care Program (§ 5160-12-01 to 5160-12-08)
- Chapter 5160-13 - Ambulatory Health Care Clinic Services (§ 5160-13-01 to 5160-13-02)
- Chapter 5160-14 - Early and Periodic Screening, Diagnosis, and Treatment Program (EPSDT) Services (§ 5160-14-01 to 5160-14-09)
- Chapter 5160-15 - Medical Transportation Services (§ 5160-15-01 to 5160-15-28)
- Chapter 5160-16 - Rural Health Services (§ 5160-16-01 to 5160-16-06)
- Chapter 5160-17 - Abortions (§ 5160-17-01)
- Chapter 5160-18 - Freestanding Birth Center (§ 5160-18-01)
- Chapter 5160-19 - Patient-Centered Medical Homes (§ 5160-19-01 to 5160-19-04)
- Chapter 5160-20 - Coordinated Services Program (§ 5160-20-01)
- Chapter 5160-21 - Preconception Care Services (§ 5160-21-01 to 5160-21-05)
- Chapter 5160-22 - Ambulatory Surgery Center Services (§ 5160-22-01 to 5160-22-03)
- Chapter 5160-24 - Enhanced Medical Transportation Services (§ 5160-24-01 to 5160-24-03)
- Chapter 5160-26 - Managed Care Plan (§ 5160-26-01 to 5160-26-13)
- Chapter 5160-27 - Community Mental Health Agency Services (§ 5160-27-01 to 5160-27-13)
- Chapter 5160-28 - Cost-Based Clinic (FQHC, OHF, RHC) Services (§ 5160-28-01 to 5160-28-13)
- Chapter 5160-29 - Outpatient Health Facility Services (§ 5160-29-01 to 5160-29-05)
- Chapter 5160-30 - Alcohol and Drug Addiction Services (§ 5160-30-01 to 5160-30-06)
- Chapter 5160-31 - Medicaid Home and Community Based Services Waiver Portion of the PASSPORT Program (§ 5160-31-02 to 5160-31-07)
- Chapter 5160-32 - Choices Program (§ 5160-32-02 to 5160-32-07)
- Chapter 5160-33 - Assisted living HCBS waiver program (§ 5160-33-02 to 5160-33-07)
- Chapter 5160-34 - Medicaid Coverage of Skilled Therapies in Non-Institutional Settings (§ 5160-34-01 to 5160-34-01.3)
- Chapter 5160-35 - Medicaid School Program (§ 5160-35-01 to 5160-35-06)
- Chapter 5160-36 - Program of All-Inclusive Care for the Elderly (PACE) (§ 5160-36-01 to 5160-36-06)
- Chapter 5160-40 - HCBS Waiver VI Program (§ 5160-40-01)
- Chapter 5160-41 - HCBS Waiver VII Program (§ 5160-41-05 to 5160-41-22)
- Chapter 5160-42 - Medicaid Home and Community-Based Services-Level One Waiver Program (§ 5160-42-01)
- Chapter 5160-43 - Specialized Recovery Services Program (§ 5160-43-01 to 5160-43-09)
- Chapter 5160-44 - Nursing Facility-Based Level of Care Home and Community-Based Services Programs (§ 5160-44-01 to 5160-44-32)
- Chapter 5160-45 - Administered Waiver Service Providers (§ 5160-45-01 to 5160-45-15)
- Chapter 5160-46 - Ohio home care waiver (§ 5160-46-02 to 5160-46-07)
- Chapter 5160-48 - Medicaid Coverage of Targeted Care Management Services Provided to Individuals with MR/DD (§ 5160-48-01)
- Chapter 5160-49 - Ohio Access Success Project (§ 5160-49-01)
- Chapter 5160-50 - Transitions carve-out waiver (§ 5160-50-02 to 5160-50-06.1)
- Chapter 5160-51 - HOME choice ("Helping Ohioans Move, Expanding Choice") demonstration program (§ 5160-51-01 to 5160-51-10)
- Chapter 5160-54 - Metrohealth Care Plus (§ 5160-54-01)
- Chapter 5160-56 - Medicaid Hospice Program (§ 5160-56-01 to 5160-56-06)
- Chapter 5160-57 - Medicaid Provider Incentive Program (§ 5160-57-01 to 5160-57-04)
- Chapter 5160-58 - MyCare Ohio (§ 5160-58-01 to 5160-58-08.4)
- Chapter 5160-59 - OhioRISE (§ 5160-59-01 to 5160-59-07)
- Chapter 5160-70 - Hearing or Review for Providers (§ 5160-70-01 to 5160-70-06)
- Chapter 5160-71 - Hearings for recovery of overpayments (§ 5160-71-01 to 5160-71-07)
- Chapter 5160-80 - Rights and Procedures Applicable to Medical Assistance Recipients (§ 5160-80-01 to 5160-80-09)
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
- Chapter 5160-1 - General Provisions (§ 5160-1-01 to 5160-1-97)
- Chapter 5160-2 - Hospital Services (§ 5160-2-01 to 5160-2-79)
- Chapter 5160-3 - Long-Term Care Facilities; Nursing Facilities; Intermediate Care Facilities for the Individuals with Intellectual Disabilities (§ 5160-3-01 to 5160-3-99)
- Chapter 5160-4 - Physician Services (§ 5160-4-01 to 5160-4-36)
- Chapter 5160-5 - Dental Services (§ 5160-5-01 to 5160-5-11)
- Chapter 5160-6 - Vision Care Services (§ 5160-6-01 to 5160-6-12)
- Chapter 5160-7 - Podiatric Services (§ 5160-7-01 to 5160-7-04)
- Chapter 5160-8 - Therapeutic and Diagnostic Services (§ 5160-8-01 to 5160-8-53)
- Chapter 5160-9 - Pharmacy Services (§ 5160-9-01 to 5160-9-14)
- Chapter 5160-10 - Medical Supplies, Durable Medical Equipment, Orthoses, and Prosthesis Providers (§ 5160-10-01 to 5160-10-36)
- Chapter 5160-11 - Independent Laboratory and X-Ray Services (§ 5160-11-01 to 5160-11-31)
- Chapter 5160-12 - Ohio Home Care Program (§ 5160-12-01 to 5160-12-08)
- Chapter 5160-13 - Ambulatory Health Care Clinic Services (§ 5160-13-01 to 5160-13-02)
- Chapter 5160-14 - Early and Periodic Screening, Diagnosis, and Treatment Program (EPSDT) Services (§ 5160-14-01 to 5160-14-09)
- Chapter 5160-15 - Medical Transportation Services (§ 5160-15-01 to 5160-15-28)
- Chapter 5160-16 - Rural Health Services (§ 5160-16-01 to 5160-16-06)
- Chapter 5160-17 - Abortions (§ 5160-17-01)
- Chapter 5160-18 - Freestanding Birth Center (§ 5160-18-01)
- Chapter 5160-19 - (§ 5160-19-01 to 5160-19-04)
- Chapter 5160-20 - Coordinated Services Program (§ 5160-20-01)
- Chapter 5160-21 - Preconception Care Services (§ 5160-21-01 to 5160-21-05)
- Chapter 5160-22 - Ambulatory Surgery Center Services (§ 5160-22-01 to 5160-22-03)
- Chapter 5160-24 - Enhanced Medical Transportation Services (§ 5160-24-01 to 5160-24-03)
- Chapter 5160-26 - Managed Care Plan (§ 5160-26-01 to 5160-26-13)
- Chapter 5160-27 - Community Mental Health Agency Services (§ 5160-27-01 to 5160-27-13)
- Chapter 5160-28 - Cost-Based Clinic (FQHC, OHF, RHC) Services (§ 5160-28-01 to 5160-28-13)
- Chapter 5160-29 - Outpatient Health Facility Services (§ 5160-29-01 to 5160-29-05)
- Chapter 5160-30 - Alcohol and Drug Addiction Services (§ 5160-30-01 to 5160-30-06)
- Chapter 5160-31 - Medicaid Home and Community Based Services Waiver Portion of the PASSPORT Program (§ 5160-31-02 to 5160-31-07)
- Chapter 5160-32 - Choices Program (§ 5160-32-02 to 5160-32-07)
- Chapter 5160-33 - Assisted living HCBS waiver program (§ 5160-33-02 to 5160-33-07)
- Chapter 5160-34 - Medicaid Coverage of Skilled Therapies in Non-Institutional Settings (§ 5160-34-01 to 5160-34-01.3)
- Chapter 5160-35 - Medicaid School Program (§ 5160-35-01 to 5160-35-06)
- Chapter 5160-36 - Program of All-Inclusive Care for the Elderly (PACE) (§ 5160-36-01 to 5160-36-06)
- Chapter 5160-40 - HCBS Waiver VI Program (§ 5160-40-01)
- Chapter 5160-41 - HCBS Waiver VII Program (§ 5160-41-05 to 5160-41-22)
- Chapter 5160-42 - Medicaid Home and Community-Based Services-Level One Waiver Program (§ 5160-42-01)
- Chapter 5160-43 - Specialized Recovery Services Program (§ 5160-43-01 to 5160-43-09)
- Chapter 5160-44 - Nursing Facility-Based Level of Care Home and Community-Based Services Programs (§ 5160-44-01 to 5160-44-31)
- Chapter 5160-45 - Administered Waiver Service Providers (§ 5160-45-01 to 5160-45-15)
- Chapter 5160-46 - Ohio home care waiver (§ 5160-46-02 to 5160-46-07)
- Chapter 5160-48 - Medicaid Coverage of Targeted Care Management Services Provided to Individuals with MR/DD (§ 5160-48-01)
- Chapter 5160-49 - Ohio Access Success Project (§ 5160-49-01)
- Chapter 5160-50 - Transitions carve-out waiver (§ 5160-50-02 to 5160-50-06.1)
- Chapter 5160-51 - HOME choice ("Helping Ohioans Move, Expanding Choice") demonstration program (§ 5160-51-01 to 5160-51-10)
- Chapter 5160-54 - Metrohealth Care Plus (§ 5160-54-01)
- Chapter 5160-56 - Medicaid Hospice Program (§ 5160-56-01 to 5160-56-06)
- Chapter 5160-57 - Medicaid Provider Incentive Program (§ 5160-57-01 to 5160-57-04)
- Chapter 5160-58 - MyCare Ohio (§ 5160-58-01 to 5160-58-08.4)
- Chapter 5160-59 - (§ 5160-59-01 to 5160-59-07)
- Chapter 5160-70 - Hearing or Review for Providers (§ 5160-70-01 to 5160-70-06)
- Chapter 5160-71 - Hearings for recovery of overpayments (§ 5160-71-01 to 5160-71-07)
- Chapter 5160-80 - Rights and Procedures Applicable to Medical Assistance Recipients (§ 5160-80-01 to 5160-80-09)