MedicaidAdministrativeMedium impact
5160:1-2-16 - Medicaid: pregnancy related services (PRS). (Amend/Final File)
Ohio Medicaid·OH · OB-GYN, Family Medicine·Medical Policy
Effective date
Dec 13, 2024
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid has finalized amendments to Rule 5160:1-2-16 regarding Medicaid pregnancy related services (PRS), with changes taking effect December 13, 2024. This update modifies coverage, billing, or administrative requirements for pregnancy-related care under Ohio Medicaid.
Action Required
By December 13, 2024: Billing team should review the full amended Rule 5160:1-2-16 for Ohio Medicaid pregnancy related services to identify specific changes to coverage, billing requirements, or documentation standards. Contact Ohio Department of Medicaid at 614-752-3877 for clarification on specific changes that may affect current billing practices for pregnancy-related services.