MedicaidAdministrativeMedium impact
5160:1-3-02.6 - Medicaid: grandfathering provisions and deemed eligibility. (Amend/Final File)
Ohio Medicaid·OH·Enrollment
Effective date
Jul 1, 2025
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has updated Rule 5160:1-3-02.6 regarding grandfathering provisions and deemed eligibility requirements, with the final amendment taking effect July 1, 2025. This change may affect how certain Medicaid patients qualify for coverage and benefits under grandfathered provisions.
Action Required
By July 1, 2025: Billing team should review Ohio Medicaid eligibility verification procedures to ensure compliance with updated grandfathering provisions and deemed eligibility rules. Contact Ohio Department of Medicaid at 614-752-3877 if questions arise about patient eligibility status under the new provisions.