MedicaidAdministrativeHigh impact
5160-1-17.51 - Suspension of medicaid provider claims payments during a pending audit or investigation. (New/Emergency)
Ohio Medicaid·OH·Program Integrity
Effective date
Jun 2, 2026
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid has implemented an emergency rule allowing suspension of Medicaid provider claims payments during pending audits or investigations. This temporary rule is effective immediately and expires October 1, 2026.
Action Required
Immediately: Billing team must monitor all Medicaid claims for payment delays or suspensions that may be related to audits or investigations. Establish protocol to identify suspended payments and contact Ohio Medicaid at 614-752-3877 if claims payments are unexpectedly halted. Review any pending audit notifications and prepare documentation to respond promptly to avoid payment suspensions.