MedicaidCoverageMedium impact
5160-10-22 - DMEPOS: ventilators. (Amend/Original File)
Ohio Medicaid·OH · Pulmonology, Critical Care, Sleep Medicine·Medical Policy
Effective date
May 11, 2026
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has filed an amendment to Rule 5160-10-22 governing DMEPOS ventilator coverage, including volume ventilators, positive/negative pressure ventilators, CPAP, APAP, and IPPV devices. The amendment is scheduled for public hearing on May 11, 2026, with an effective date following shortly after.
Action Required
Before May 11, 2026: Monitor the public hearing and final rule publication for specific changes to Ohio Medicaid ventilator coverage requirements. Billing team should review updated rule body when published to identify any new prior authorization, documentation, or coverage criteria for DMEPOS ventilator claims.