MedicaidAdministrativeMedium impact
5160:1-3-03.7 - Medicaid: treatment of sick pay and sick leave. (Amend/Final File)
Ohio Medicaid·OH·Medical Policy
Effective date
Jun 8, 2025
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has updated Rule 5160:1-3-03.7 regarding how sick pay and sick leave income is treated for Medicaid eligibility determination. This amendment affects how patient eligibility is calculated when they have sick pay or sick leave benefits.
Action Required
By June 8, 2025: Billing and eligibility verification staff must review Ohio Medicaid patients' sick pay and sick leave income using the updated eligibility treatment rules. Update patient eligibility verification procedures to account for the amended sick pay treatment guidelines. Verify eligibility more frequently for patients with ongoing sick leave to ensure continued Medicaid coverage.