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Since 2019, Ohio has been operating under a Substance Use Disorder (SUD) 1115 waiver which allows Medicaid payments for services in certain residential treatment facilities. This five-year waiver was set to expire September 30, 2024. In April 2024, the Ohio Department of Medicaid (ODM) submitted a request to extend the SUD 1115 waiver for an additional five years.
On September 6, 2024, ODM received notice from the Centers for Medicare and Medicaid Services (CMS) that Ohio’s SUD 1115 initial waiver has been temporarily extended through March 31, 2025, while CMS completes its review of the five-year extension request.
The temporary extension letter is posted on the CMS website and can be viewed here. Additional information about Ohio Medicaid's SUD 1115 waiver is available online at Ohio SUD1115 Waiver webpage.
Questions about Ohio’s SUD 1115 waiver can be directed via email to MCD_SUD1115@medicaid.ohio.gov.
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