MedicaidPrior AuthLow impact
5160-12-02.3 - Private duty nursing: procedures for service authorization. (New/Refile)
Ohio Medicaid·OH·Prior Authorization
Effective date
Oct 14, 2025
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid has refiled Rule 5160-12-02.3 regarding private duty nursing service authorization procedures. This appears to be an administrative refile of existing prior authorization requirements for private duty nursing services under Ohio Medicaid.
Action Required
Review current private duty nursing prior authorization procedures to ensure compliance with Ohio Medicaid requirements. Billing team should verify that existing workflows for private duty nursing services align with Rule 5160-12-02.3 authorization procedures.