MedicaidCoverageMedium impact
5160-9-02 - Pharmacy services: medical supplies and durable medical equipment. (New/Final File)
Ohio Medicaid·OH·Pharmacy
Effective date
Feb 16, 2024
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid has issued a new final rule (5160-9-02) for pharmacy services, medical supplies, and durable medical equipment effective February 16, 2024. This policy represents a complete rescission and replacement of the previous rule, indicating significant changes to Medicaid coverage and billing requirements for DME and medical supplies.
Action Required
By February 16, 2024: Billing team must review the complete new Ohio Medicaid rule 5160-9-02 for pharmacy services, medical supplies, and DME. Access the full rule body through the Ohio Register to identify specific billing requirement changes, coverage criteria updates, and documentation requirements. Update billing procedures and staff training for all Ohio Medicaid DME and medical supply claims to ensure compliance with the new policy.