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MedicaidAdministrativeMedium impact

5160-20-01 - Coordinated services program. (Rescind/Final File)

Ohio Medicaid·OH·Medical Policy
Effective date
Feb 1, 2026
We identified it
Jun 20, 2026
Days to comply

Summary

Ohio Medicaid is rescinding the existing Coordinated Services Program rule (5160-20-01) and replacing it with a new definitions-only rule effective February 1, 2026. This represents a significant structural change to Ohio Medicaid's coordinated care program requirements.

Action Required

Action needed
Before February 1, 2026: Billing teams serving Ohio Medicaid patients should monitor for updated program requirements and billing procedures once the new coordinated services definitions are published. Contact Ohio Department of Medicaid at 614-752-3877 for clarification on how this program restructuring will affect billing and documentation requirements.