MedicaidCoverageLow impact
5160-35-06 - Other services, medical supplies and equipment authorized for medicaid coverage that can be provided by medicaid school program (MSP) providers. (Amend/Final File)
Ohio Medicaid·OH · Pediatrics, Family Medicine·Medical Policy
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Summary
Ohio amended Medicaid rule 5160-35-06 governing medical services, supplies, and equipment that can be provided by Medicaid School Program (MSP) providers. This rule change affects billing for school-based health services covered under Ohio Medicaid.
Action Required
By January 1, 2026: Billing teams serving Ohio Medicaid School Program patients should review the updated rule 5160-35-06 to understand any changes to covered services, supplies, and equipment. Contact Ohio Department of Medicaid at 614-752-3877 for specific coverage changes. This primarily affects providers participating in school-based health programs.