MedicaidCoverageMedium impact
5160-27-11 - Behavioral health nursing services. (Amend/Final File)
Ohio Medicaid·OH · Psychiatry, Family Medicine, Internal Medicine·Specialty Services
Effective date
Oct 1, 2024
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has updated their behavioral health nursing services policy (Rule 5160-27-11) effective October 1, 2024. This amendment modifies the requirements and coverage guidelines for behavioral health nursing services under Ohio Medicaid.
Action Required
By October 1, 2024: Billing teams serving Ohio Medicaid patients should review updated behavioral health nursing services requirements. Verify current billing procedures align with the amended Rule 5160-27-11. Contact Ohio Department of Medicaid at 614-752-3877 for specific coverage and documentation requirements if providing behavioral health nursing services.