MedicaidAdministrativeMedium impact
5160-27-01 - Eligible provider of community behavioral health services. (New/Final File)
Ohio Medicaid·OH · Psychiatry·Specialty Services
Effective date
Oct 1, 2024
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has updated Rule 5160-27-01 regarding eligible providers of community behavioral health services, effective October 1, 2024. This represents a transition from the previous 'behavioral health services' rule to a more specific 'community behavioral health services' framework, which may affect provider eligibility and certification requirements for billing behavioral health services under Ohio Medicaid.
Action Required
By October 1, 2024: Behavioral health providers billing Ohio Medicaid must verify their eligibility status under the new community behavioral health services rule 5160-27-01. Contact Ohio Department of Medicaid at 614-752-3877 to confirm current provider certification meets new requirements. Review and update credentialing documentation to ensure compliance with community behavioral health service standards.