MedicaidCoverageMedium impact
5160-10-38 - DMEPOS: respiratory assist devices. (New/Final File)
Ohio Medicaid·OH · Pulmonology, Critical Care, Sleep Medicine +2 more·Medical Policy
Effective date
Aug 1, 2025
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has finalized a new policy (Rule 5160-10-38) governing DMEPOS respiratory assist devices. This establishes updated coverage and billing requirements for respiratory assistance equipment under Ohio's Medicaid program.
Action Required
By August 1, 2025: Billing teams serving Ohio Medicaid patients must review and implement the new DMEPOS respiratory assist device policy requirements. Update billing procedures for respiratory equipment claims to ensure compliance with Rule 5160-10-38. Contact Ohio Department of Medicaid at 614-752-3877 for specific coverage criteria and documentation requirements.