MedicaidAdministrativeMedium impact
5160-9-09 - Pharmacy services: co-payments. (Amend/Final File)
Ohio Medicaid·OH·Pharmacy
Effective date
Feb 16, 2024
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid has updated Rule 5160-9-09 regarding pharmacy services co-payments, with the amendment becoming effective February 16, 2024. This policy change affects Medicaid pharmacy billing and patient co-payment requirements in Ohio.
Action Required
By February 16, 2024: Billing team must review updated Ohio Medicaid pharmacy co-payment requirements under Rule 5160-9-09. Contact Ohio Department of Medicaid at 614-752-3877 for specific co-payment amount changes. Update billing system and patient collection procedures to reflect new Medicaid pharmacy co-payment structure for Ohio patients.