MedicaidAdministrativeMedium impact
5160-9-01 - Pharmacy services: definitions. (New/Final File)
Ohio Medicaid·OH · Family Medicine, Internal Medicine, General Practice +1 more·Pharmacy
Effective date
Feb 16, 2024
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid has finalized new definitions for pharmacy services under rule 5160-9-01, replacing previous eligible provider requirements. This establishes standardized terminology and criteria for pharmacy service providers under Ohio Medicaid.
Action Required
By February 16, 2024: Billing teams serving Ohio Medicaid patients should review updated pharmacy service definitions to ensure compliance with new provider eligibility requirements. Contact Ohio Department of Medicaid at 614-752-3877 for specific definition details that may affect pharmacy billing protocols.