MedicaidAdministrativeMedium impact
5160-26-05 - Managed care: provider network and contracting requirements. (Rescind/Final File)
Ohio Medicaid·OH·Managed Care
Effective date
May 5, 2025
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid is implementing new managed care provider network and contracting requirements, rescinding the previous rule and replacing it with updated requirements. This affects how healthcare providers contract with Medicaid managed care organizations in Ohio.
Action Required
Before May 5, 2025: Ohio providers contracted with Medicaid managed care plans must review new contracting requirements and ensure compliance with updated network participation standards. Contact Medicaid managed care plans to understand any new contract terms or credentialing requirements that may result from this rule change.