MedicaidCoverageMedium impact
5160-18-02 - Pediatric recovery centers (PRCs). (New/Final File)
Ohio Medicaid·OH · Pediatrics·Program Integrity
Effective date
Jul 1, 2025
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid has established a new rule 5160-18-02 for Pediatric Recovery Centers (PRCs), creating coverage and billing guidelines for specialized pediatric recovery services. This represents a completely new service category under Ohio Medicaid with specific requirements for providers.
Action Required
By July 1, 2025: Pediatric providers interested in offering recovery center services must review the new Ohio Medicaid rule 5160-18-02 to understand coverage requirements, provider qualifications, and billing procedures for Pediatric Recovery Centers. Contact Ohio Department of Medicaid at 614-752-3877 for specific implementation guidance.