MedicaidAdministrativeMedium impact
5160-35-01 - Definitions. (Amend/Final File)
Ohio Medicaid·OH·Medical Policy
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has updated Rule 5160-35-01 containing definitions that will take effect January 1, 2026. This is a definitions amendment that may impact how terms are interpreted for Ohio Medicaid billing and coverage decisions.
Action Required
Before January 1, 2026: Billing team should review the updated Ohio Medicaid definitions rule at the provided URL to understand any terminology changes that may affect claim processing. Monitor for additional guidance from Ohio Medicaid regarding specific billing implications of the definitional changes.