MedicaidAdministrativeMedium impact
5160:1-3-02.9 - Medicaid: disability determination process. (Amend/Final File)
Ohio Medicaid·OH·Medical Policy
Effective date
Aug 11, 2025
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid has updated the disability determination process regulations under rule 5160:1-3-02.9. This amendment affects how disability eligibility is assessed for Medicaid coverage, potentially impacting billing for patients whose Medicaid coverage depends on disability status.
Action Required
Before August 11, 2025: Billing team should monitor patient Medicaid eligibility status more closely for disability-based coverage. Verify current eligibility before submitting claims for patients with disability-based Medicaid. Contact Ohio Medicaid at 614-752-3877 if questions arise about patient eligibility status.