MedicaidCoverageMedium impact
5160-8-42 - Lactation consultation services. (New/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 updated Rule 5160-8-42 for lactation consultation services, with a new final rule effective October 1, 2024, replacing the previous version. This represents a rescission of the old rule and implementation of new policy guidelines for billing lactation consultation services under Ohio Medicaid.
Action Required
By October 1, 2024: Billing teams serving Ohio Medicaid patients must review and implement the updated lactation consultation services billing requirements under Rule 5160-8-42. Contact Ohio Department of Medicaid at 614-752-3877 for specific billing guidelines and ensure compliance with the new policy to avoid claim denials.