MedicaidAdministrativeMedium impact
5160:1-2-14 - Medicaid: continuous eligibility for children younger than age nineteen. (Amend/To Be Refiled)
Ohio Medicaid·OH · Pediatrics, Family Medicine·Enrollment
We identified it
Jun 20, 2026
Summary
Ohio Medicaid policy 5160:1-2-14 regarding continuous eligibility for children under 19 years old has been refiled for amendment. The policy is currently in 'To Be Refiled' status, indicating ongoing regulatory changes that may affect Medicaid billing and eligibility verification for pediatric patients.
Action Required
Monitor policy status: Billing team should watch for final rule publication and effective date announcements. When finalized, review eligibility verification procedures for Medicaid patients under 19 years old and update workflows for continuous coverage determination. Contact Ohio Department of Medicaid at 614-752-3877 for clarification on current eligibility requirements.