MedicaidAdministrativeLow impact
5160-59-03.6 - Psychiatric residential treatment facility (PRTF) service. (Amend/Original File)
Ohio Medicaid·OH · Psychiatry·Medical Policy
Effective date
Apr 13, 2026
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid has filed an amendment to rule 5160-59-03.6 governing Psychiatric Residential Treatment Facility (PRTF) services. This is an amendment to existing regulations that will become effective April 13, 2026.
Action Required
Before April 13, 2026: Billing teams serving Ohio Medicaid patients should monitor for the final rule text once published to identify any changes to PRTF billing requirements, coverage criteria, or documentation standards. This primarily affects practices that bill for psychiatric residential treatment services.