MedicaidCoverageMedium impact
5160-10-35 - DMEPOS: cranial remolding devices. (Amend/Final File)
Ohio Medicaid·OH · Pediatrics, Neurosurgery, Plastic Surgery +1 more·Medical Policy
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has amended rule 5160-10-35 regarding DMEPOS cranial remolding devices, effective January 1, 2024. This is a recent amendment to existing policy covering coverage and billing requirements for cranial orthotic devices used to treat positional plagiocephaly and similar conditions in infants.
Action Required
By January 1, 2024: Billing teams serving Ohio Medicaid patients should review updated rule 5160-10-35 for any changes to coverage criteria, documentation requirements, or billing procedures for cranial remolding devices. Contact Ohio Department of Medicaid at 614-752-3877 for specific policy details if billing these devices.