MedicaidAdministrativeMedium impact
5160-43-04 - Specialized recovery services program covered services and provider requirements. (Amend/Final File)
Ohio Medicaid·OH · Psychiatry, Pain Management, PM&R (Physical Medicine & Rehab)·Program Integrity
Effective date
Sep 1, 2024
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has updated Rule 5160-43-04 regarding specialized recovery services program covered services and provider requirements, effective September 1, 2024. This is a final amendment to existing provider requirements for specialized recovery services under Ohio Medicaid.
Action Required
By September 1, 2024: Providers offering specialized recovery services under Ohio Medicaid must review and comply with updated Rule 5160-43-04 requirements. Contact Ohio Department of Medicaid at 614-752-3877 for specific compliance details. Billing team should verify current provider enrollment status and ensure all specialized recovery service claims meet the updated program requirements.