Ohio Administrative Code
Title 5160 - Ohio Department of Medicaid
Chapter 5160-46 - Ohio home care waiver
Section 5160-46-06 - Ohio home care waiver program: reimbursement rates and billing procedures
Current through all regulations passed and filed through September 16, 2024
(A) Definitions of terms used for billing and calculating rates.
(B) Billing code tables.
Table A
Column 1 |
Column 2 |
Column 3 |
Column 4 |
Billing code |
Service |
Base rate |
Unit rate |
T1002 |
Waiver nursing services provided by an agency RN |
$68.44 |
$ 9.25 |
T1002 |
Waiver nursing services provided by a non-agency RN |
$56.26 |
$7.46 |
T1002 |
Waiver nursing services provided by a non-agency RN (overtime) |
$84.39 |
$11.19 |
T1003 |
Waiver nursing services provided by an agency LPN |
$58.72 |
$7.82 |
T1003 |
Waiver nursing services provided by a non-agency LPN |
$48.00 |
$6.24 |
T1003 |
Waiver nursing services provided by a non-agency LPN (overtime) |
$72.00 |
$ 9.36 |
T1019 |
Personal care aide services provided by an agency personal care aide |
$28.96 |
$7.24 |
T1019 |
Personal care aide services provided by a non-agency personal care aide |
$22.32 |
$5.58 |
T1019 |
Personal care aide services provided by a non-agency personal care aide (overtime) |
$33.48 |
$8.37 |
Table B
Column 1 |
Column 2 |
Column 3 |
Column 4 |
Billing code |
Service |
Billing unit |
Medicaid maximum rate |
H0045 |
Out-of-home respite services |
Per day |
$199.82 |
S0215 |
Supplemental transportation services |
Per mile |
$0.48 |
S5101 |
Adult day health center services |
Per half day |
$53.11 |
S5102 |
Adult day health center services |
Per day |
$106.26 |
S5160 |
Personal emergency response systems |
Per installation and testing |
$32.95 |
S5161 |
Personal emergency response systems |
Per monthly fee |
$32.95 |
S5165 |
Home modification services |
Per item |
Amount prior-authorized on the person-centered services plan, not to exceed $10,000 in a twelve-month calendar year |
T2029 |
Supplemental adaptive and assistive device services |
Per item |
Amount prior-authorized on the person-centered services plan, not to exceed $10,000 in a twelve-month calendar year |
S5170 |
Home delivered meal services - standard meal |
Per meal |
$8.80 |
S5170 |
Home delivered meal services - therapeutic or kosher meal |
Per meal |
$10.61 |
S5135 |
Community integration services |
Per fifteen-minute unit |
$3.93 |
T2038 |
Community transition services |
Per job |
$2,000 per waiver enrollment |
S5121 |
Home maintenance and chore services |
Per job |
Amount prior-authorized on the person-centered services plan, not to exceed $10,000 in a twelve-month calendar year |
(C) The amount of reimbursement for a service will be the lesser of the provider's billed charge or the medicaid maximum rate.
(D) Required modifiers.
(E) Claims will be submitted to, and reimbursement will be provided by, ODM in accordance with Chapter 5160-1 of the Administrative Code.