MedicaidAdministrativeMedium impact
5160-9-06 - Pharmacy services: billing and recordkeeping requirements. (Amend/Final File)
Ohio Medicaid·OH·Pharmacy
Effective date
Feb 16, 2024
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has updated Rule 5160-9-06 regarding pharmacy services billing and recordkeeping requirements, with the final amendment becoming effective February 16, 2024. This policy change affects how pharmacy services must be billed and what records must be maintained for Ohio Medicaid patients.
Action Required
Effective February 16, 2024: Healthcare practices providing pharmacy services to Ohio Medicaid patients must review and comply with updated billing and recordkeeping requirements under Rule 5160-9-06. Contact Ohio Department of Medicaid at 614-752-3877 for specific compliance details. Billing team should verify current pharmacy billing procedures align with new requirements.