MedicaidAdministrativeMedium impact
5160:1-2-15 - Medicaid: healthchek (early and periodic screening, diagnostic and treatment services). (Amend/Final File)
Ohio Medicaid·OH · Pediatrics, Family Medicine·Medical Policy
Effective date
Mar 1, 2025
We identified it
Jun 20, 2026
Summary
Ohio's Medicaid Healthchek program rule for early and periodic screening, diagnostic and treatment services has been amended with a final filing effective March 1, 2025. This update affects Ohio Medicaid billing for pediatric preventive care services and EPSDT program requirements.
Action Required
Before March 1, 2025: Billing teams serving Ohio Medicaid patients must review updated Healthchek/EPSDT program requirements. Contact Ohio Department of Medicaid at 614-752-3877 to obtain specific billing guideline changes. Update internal procedures for pediatric preventive screening services to ensure compliance with amended rule 5160:1-2-15.