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Medicaid Planning · Ohio

Ohio Medicaid look-back rules

Medicaid look-back rules rules for Ohio.

Published: September 4, 2026. Last checked: September 5, 2026.

Look-back period

60 months before the baseline date

Source: Ohio Administrative Code 5160:1-6-06 [state-medicaid-agency] — Effective October 1, 2025

Transfer-penalty divisor

$7,787 per month

Source: Ohio Medicaid Eligibility Procedure Letter No. 181 [state-medicaid-agency] — Effective Date: September 1, 2024; Issue Date: July 17, 2024

How the state administers the rule

Total improperly transferred assets are divided by Ohio's monthly average private-pay nursing-facility rate. A partial first month uses the monthly rate divided by that month's number of days; fractional months become restricted-coverage dollars.

Source: Ohio Administrative Code 5160:1-6-06.5 [state-medicaid-agency] — Effective January 1, 2024

Sources

Methodology & sources

Checked at least annually and whenever the state publishes a new transfer-penalty divisor or administration rule.

General information, not legal advice.