MedicaidReimbursementMedium impact
5160:1-1-03 - Medicaid: restrictions on payment for services. (Amend/Final File)
Ohio Medicaid·OH·Reimbursement
Effective date
Jul 1, 2025
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid has filed a final amendment to Rule 5160:1-1-03 regarding restrictions on payment for services, effective July 1, 2025. This represents the most recent update to Ohio Medicaid payment restrictions that will impact billing and reimbursement for Medicaid services.
Action Required
By July 1, 2025: Billing team must review the full rule text for Rule 5160:1-1-03 to identify specific payment restrictions and update billing procedures accordingly. Monitor for additional guidance from Ohio Department of Medicaid regarding implementation details. Contact Tommi Potter at 614-752-3877 for clarification on specific restrictions.