MedicaidCoverageMedium impact
5160-10-19 - DMEPOS: positive airway pressure devices. (Amend/Final File)
Ohio Medicaid·OH · Pulmonology, Sleep Medicine, Internal Medicine +1 more·Medical Policy
Effective date
Aug 1, 2025
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid has filed a final amendment to rule 5160-10-19 regarding DMEPOS positive airway pressure devices (CPAP/BiPAP equipment). This is the most recent update in a series of amendments, with the final version effective August 1, 2025.
Action Required
By August 1, 2025: Billing team should review the updated Ohio Medicaid rule 5160-10-19 for any changes to DMEPOS positive airway pressure device billing requirements. Contact Ohio Department of Medicaid (Tommi Potter, 614-752-3877) for specific rule details and implementation guidance. Update billing procedures for Ohio Medicaid CPAP/BiPAP claims accordingly.