MedicaidAdministrativeMedium impact
5160-10-01 - Durable medical equipment, prostheses, orthoses, and supplies (DMEPOS): general provisions. (Amend/Final File)
Ohio Medicaid·OH · Orthopedics, PM&R (Physical Medicine & Rehab), Physical Therapy +2 more·Specialty Services
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has finalized an amendment to Rule 5160-10-01 governing DMEPOS (durable medical equipment, prostheses, orthoses, and supplies) general provisions. This policy update takes effect January 1, 2026, and will impact billing requirements and coverage criteria for medical equipment and supplies under Ohio Medicaid.
Action Required
Before January 1, 2026: Billing team must review the updated Ohio Medicaid DMEPOS rule 5160-10-01 to understand new requirements for durable medical equipment, prostheses, orthoses, and supplies. Contact Ohio Department of Medicaid (Tommi Potter, 614-752-3877) for specific changes or access the full rule body at the Ohio Register website. Update billing procedures and documentation requirements for Ohio Medicaid DMEPOS claims accordingly.