MedicaidCoverageMedium impact
5160-10-29 - DMEPOS: insulin pumps. (Amend/Original File)
Ohio Medicaid·OH · Endocrinology, Family Medicine, Internal Medicine +1 more·Medical Policy
Effective date
Jun 8, 2026
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has filed an amendment to Rule 5160-10-29 regarding DMEPOS insulin pumps, with an effective date of June 8, 2026. This policy change updates coverage and billing requirements for insulin pumps under Ohio Medicaid's durable medical equipment provisions.
Action Required
Before June 8, 2026: Billing teams serving Ohio Medicaid patients should monitor for the final rule text when published to understand specific changes to insulin pump coverage, prior authorization requirements, or billing procedures. Review updated policy documents when available and update billing protocols accordingly.