MedicaidAdministrativeMedium impact
5160:1-3-02 - Medicaid: criteria for age, blindness, or disability. (New/Final File)
Ohio Medicaid·OH·Medical Policy
Effective date
Jun 9, 2025
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid has updated Rule 5160:1-3-02 regarding eligibility criteria for age, blindness, or disability determinations. This is a new final rule that replaces previous versions and affects Medicaid billing and eligibility verification processes.
Action Required
Before June 9, 2025: Billing team should review updated Medicaid eligibility criteria for age, blindness, and disability determinations. Verify that patient eligibility verification processes align with new Ohio Medicaid requirements. Contact Ohio Department of Medicaid at 614-752-3877 for clarification on specific eligibility requirements that may affect billing.