MedicaidCoverageHigh impact
5160-28-13 - Outpatient health facility (OHF) services. (Rescind/Final File)
Ohio Medicaid·OH·Medical Policy
Effective date
Feb 1, 2024
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has rescinded Rule 5160-28-13 for Outpatient Health Facility (OHF) services, effective February 1, 2024. This means the previous policy that was established in July 2022 is no longer in effect, potentially affecting billing and coverage rules for outpatient facility services under Ohio Medicaid.
Action Required
Immediately: Billing team must verify current Ohio Medicaid coverage rules for outpatient facility services since the previous policy has been rescinded. Contact Ohio Department of Medicaid at 614-752-3877 (Tommi Potter) to confirm current billing requirements and coverage policies. Review all pending and recent Ohio Medicaid outpatient facility claims to ensure compliance with current rules.