5160:1-6-01. Medicaid: eligibility for medicaid payment for long-term care (LTC) services  


Latest version.
  • (A) This rule describes how an individual is determined eligible for medicaid payment for long-term care (LTC) services.

    (B) Before an individual can receive medicaid payment for LTC services, the individual must:

    (1) Be eligible for medical assistance in accordance with Chapter 5160:1-3, 5160:1-4, 5160:1-5, or 5160:1-6, as applicable; and

    (2) Meet any non-financial eligibility requirements required for the type of LTC services requested; and

    (3) Not be subject to a restricted medicaid coverage period, in accordance with rule 5160:1-6-06.5 of the Administrative Code.

    (C) An individual receiving medicaid payment for LTC services may be subject to post-eligibility treatment of income in accordance with rules 5160:1-6-07 and 5160:1-6-07.1 of the Administrative Code.


Effective: 9/1/2017
Five Year Review (FYR) Dates: 09/01/2022
Promulgated Under: 111.15
Statutory Authority: 5160.02, 5163.02
Rule Amplifies: 5160.02, 5163.02