MedicaidAdministrativeMedium impact
5160-27-01 - Eligible provider for behavioral health services. (Rescind/Final File)
Ohio Medicaid·OH · Psychiatry·Specialty Services
Effective date
Oct 1, 2024
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has rescinded the existing 'Eligible provider for behavioral health services' rule and replaced it with a new 'Eligible provider of community behavioral health services' rule, effective October 1, 2024. This represents a shift in Ohio Medicaid's approach to behavioral health provider eligibility requirements.
Action Required
By October 1, 2024: Behavioral health providers billing Ohio Medicaid must review and ensure compliance with the new 'Eligible provider of community behavioral health services' requirements under rule 5160-27-01. Contact the Ohio Department of Medicaid at 614-752-3877 for specific eligibility criteria and documentation requirements under the new rule.