MedicaidAdministrativeMedium impact
5160-1-17.12 - Qualified entity requirements and responsibilities for determining presumptive eligibility. (New/Original File)
Ohio Medicaid·OH·Enrollment
Effective date
Jun 26, 2026
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has updated Rule 5160-1-17.12 regarding qualified entity requirements and responsibilities for determining presumptive eligibility for Medicaid enrollment. This appears to be a procedural update that may affect how healthcare practices handle Medicaid eligibility determination processes.
Action Required
Before June 26, 2026: Billing and front desk staff should review updated Ohio Medicaid presumptive eligibility determination procedures. Contact Ohio Department of Medicaid at 614-752-3823 for specific guidance on any changes to current eligibility verification workflows. Monitor for additional detailed rule text when published.