MedicaidCoverageMedium impact
5160-3-06 - Criteria for the protective level of care. (Amend/Final File)
Ohio Medicaid·OH·Medical Policy
Effective date
Jul 1, 2025
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid has amended Rule 5160-3-06 regarding criteria for protective level of care, with the final filing completed on June 18, 2025. This amendment affects Medicaid coverage criteria and will take effect July 1, 2025.
Action Required
By July 1, 2025: Billing team must review updated Ohio Medicaid criteria for protective level of care services. Contact Ohio Department of Medicaid at 614-752-3877 for specific coverage changes. Update prior authorization processes and documentation requirements for protective care level services as needed based on the amended criteria.