MedicaidAdministrativeMedium impact
5160-22-01 - Ambulatory surgery center (ASC) services: provider eligibility, coverage, and reimbursement. (Amend/Final File)
Ohio Medicaid·OH · General Surgery, Orthopedics, Ophthalmology +4 more·Reimbursement
Effective date
Jan 10, 2026
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has finalized amendments to Rule 5160-22-01 governing ambulatory surgery center (ASC) services, including provider eligibility requirements, coverage policies, and reimbursement rates. This policy update takes effect January 10, 2026 and supersedes the previous version from January 1, 2024.
Action Required
Before January 10, 2026: Billing team must review the updated Ohio Medicaid ASC policy Rule 5160-22-01 for any changes to provider eligibility requirements, covered services, or reimbursement rates. Contact Ohio Department of Medicaid at 614-752-3877 if clarification is needed. Verify ASC provider enrollment status remains compliant with new requirements.