MedicaidCoverageLow impact
5160-48-01 - Medicaid coverage of targeted case management services provided to individuals with developmental disabilities. (Amend/Final File)
Ohio Medicaid·OH · Psychiatry, Family Medicine, Internal Medicine +1 more·Medical Policy
Effective date
Jul 31, 2024
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid updated Rule 5160-48-01 regarding Medicaid coverage of targeted case management services for individuals with developmental disabilities, with the final amendment effective July 31, 2024. This update represents the most recent version of coverage requirements for these specialized case management services.
Action Required
By August 31, 2024: Billing teams serving Ohio Medicaid patients with developmental disabilities should review the updated Rule 5160-48-01 to ensure compliance with current targeted case management service coverage requirements. Contact Ohio Department of Medicaid at 614-752-3877 for specific billing guidance if providing these specialized services.