MedicaidAdministrativeMedium impact
5160-58-01.1 - MyCare Ohio plans: application of general managed care rules. (Amend/Final File)
Ohio Medicaid·OH·Enrollment
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid has finalized amendments to Rule 5160-58-01.1 regarding MyCare Ohio plans and application of general managed care rules. This is an enrollment-related policy change that will take effect January 1, 2026, affecting how MyCare Ohio managed care plans operate.
Action Required
Before January 1, 2026: Billing teams serving Ohio Medicaid patients enrolled in MyCare Ohio plans should review updated managed care rules and verify current enrollment verification processes. Contact Ohio Department of Medicaid at 614-752-3877 for specific rule changes that may affect billing workflows.