MedicaidCoverageMedium impact
5160:1-4-02 - MAGI-based medicaid: coverage for children younger than nineteen years of age. (Amend/Final File)
Ohio Medicaid·OH · Pediatrics, Family Medicine·Medical Policy
Effective date
Jun 1, 2026
We identified it
Jun 20, 2026
Summary
Ohio is amending its MAGI-based Medicaid coverage rules for children under 19 years of age. This is a procedural filing that shows multiple amendment dates, with the most recent activity indicating ongoing rule updates for pediatric Medicaid eligibility and coverage determination.
Action Required
By June 1, 2026: Billing team should review updated Ohio Medicaid eligibility requirements for pediatric patients under 19. Verify patient eligibility more frequently and update internal procedures for MAGI-based Medicaid coverage verification. Monitor for specific rule changes when the final amended rule text becomes available.