MedicaidCoverageMedium impact
5160-8-42 - Lactation consultation services. (Rescind/Final File)
Ohio Medicaid·OH · OB-GYN, Pediatrics, Family Medicine·Medical Policy
Effective date
Oct 1, 2024
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has finalized a rescission (cancellation) of Rule 5160-8-42 covering lactation consultation services, effective October 1, 2024. This policy change affects how lactation services are covered and billed under Ohio Medicaid programs.
Action Required
By October 1, 2024: Billing team must review current lactation consultation service billing procedures for Ohio Medicaid patients. Contact Ohio Department of Medicaid (Tommi Potter at 614-752-3877) to clarify coverage requirements and billing protocols following the policy rescission. Update billing system settings for Ohio Medicaid lactation services if needed.