MedicaidAdministrativeLow impact
5160-43-01 - Specialized recovery services program definitions. (Amend/Final File)
Ohio Medicaid·OH · Pain Management, PM&R (Physical Medicine & Rehab), Psychiatry +2 more·Medical Policy
Effective date
Sep 1, 2024
We identified it
Jun 20, 2026
Summary
Ohio Medicaid updated definitions for their specialized recovery services program under rule 5160-43-01, effective September 1, 2024. This appears to be a definitional update to clarify terms used in recovery services billing and coverage policies.
Action Required
By September 1, 2024: Billing teams working with Ohio Medicaid recovery services should review the updated definitions in rule 5160-43-01 to ensure proper understanding of program terminology. Contact Ohio Department of Medicaid at 614-752-3877 for clarification on how definitional changes may affect current billing practices.