MedicaidAdministrativeMedium impact
5160-1-29 - Medicaid fraud, waste, and abuse. (Amend/Final File)
Ohio Medicaid·OH·Program Integrity
Effective date
Jul 18, 2024
We identified it
Jun 20, 2026
Summary
Ohio updated its Medicaid fraud, waste, and abuse rule 5160-1-29, effective July 18, 2024. This amendment updates program integrity requirements and compliance obligations for healthcare providers billing Ohio Medicaid.
Action Required
By August 18, 2024: Billing team and compliance staff must review the updated Ohio Medicaid fraud, waste, and abuse rule 5160-1-29 to understand new compliance requirements. Contact Ohio Department of Medicaid at 614-752-3877 for clarification on specific changes. Update internal compliance policies and staff training materials to reflect any new fraud prevention or reporting requirements.