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

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

(B) In order to 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 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.

Last updated June 25, 2025 at 11:17 PM