MedicaidCoverageMedium impact
5160-9-02 - Pharmacy services: medical supplies and durable medical equipment. (Rescind/Final File)
Ohio Medicaid·OH·Pharmacy
Effective date
Feb 16, 2024
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid has rescinded and replaced rule 5160-9-02 regarding pharmacy services for medical supplies and durable medical equipment, with the new rule effective February 16, 2024. This represents a complete replacement of the previous policy governing Medicaid coverage for DME and medical supplies obtained through pharmacies.
Action Required
By February 16, 2024: Billing team must review the new Ohio Medicaid rule 5160-9-02 for any changes to DME and medical supply coverage requirements when billed through pharmacies. Contact Ohio Department of Medicaid at 614-752-3877 for specific details on policy changes. Update billing procedures for Ohio Medicaid DME claims accordingly.