MedicaidReimbursementMedium impact
5160-9-05 - Pharmacy services: payment for prescribed drugs. (Rescind/Final File)
Ohio Medicaid·OH·Pharmacy
Effective date
Feb 16, 2024
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has updated rule 5160-9-05 regarding pharmacy services payment for prescribed drugs, with a rescission and new version both taking effect February 16, 2024. This represents the latest in a series of frequent changes to Ohio Medicaid pharmacy reimbursement policies.
Action Required
By February 16, 2024: Billing team should review the new Ohio Medicaid pharmacy reimbursement rule 5160-9-05 for any changes to prescription drug billing requirements. Contact Ohio Department of Medicaid at 614-752-3877 (Tommi Potter) for specific details on billing changes, as the policy document contains only filing information without detailed rule content.