MedicaidCoverageMedium impact
5160-27-14 - Behavioral health peer support service. (New/Final File)
Ohio Medicaid·OH · Psychiatry·Specialty Services
Effective date
Sep 1, 2024
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has established a new rule 5160-27-14 for behavioral health peer support services, effective September 1, 2024. This creates a new category of covered services for Medicaid beneficiaries requiring behavioral health support.
Action Required
By September 1, 2024: Billing teams serving Ohio Medicaid patients should review the new behavioral health peer support service rule 5160-27-14 to understand coverage criteria and billing requirements. Contact Ohio Department of Medicaid (Tommi Potter, 614-752-3877) for specific billing codes and documentation requirements for this new service category.