MedicaidReimbursementMedium impact
5160-2-75 - Outpatient hospital reimbursement. (Amend/Final File)
Ohio Medicaid·OH·Reimbursement
Effective date
Feb 9, 2026
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has finalized Rule 5160-2-75 regarding outpatient hospital reimbursement, with the final filing completed on January 30, 2026, and an effective date of February 9, 2026. This represents the completion of a rule amendment process that began in October 2025.
Action Required
By February 9, 2026: Billing team should review the final Ohio Medicaid Rule 5160-2-75 for outpatient hospital reimbursement changes. Contact Ohio Department of Medicaid (Tommi Potter, 614-752-3877) for specific implementation details. Monitor for updated fee schedules or billing requirements that may affect outpatient hospital claims for Ohio Medicaid patients.