MedicaidCoverageMedium impact
5160-8-52 - Services provided by a pharmacist. (Amend/Final File)
Ohio Medicaid·OH·Medical Policy
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has finalized an amendment to Rule 5160-8-52 regarding services provided by pharmacists, which will take effect January 1, 2026. This policy update may expand or modify the scope of reimbursable pharmacy services under Ohio Medicaid.
Action Required
By January 1, 2026: Billing teams at practices with Ohio Medicaid patients should review the final rule text to understand any changes to pharmacy service billing requirements. Contact Ohio Department of Medicaid at 614-752-3877 for clarification on specific billing procedures if needed.