MedicaidReimbursementMedium impact
5160-27-03 - Reimbursement for community behavioral health services. (Amend/Final File)
Ohio Medicaid·OH · Psychiatry·Reimbursement
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has updated Rule 5160-27-03 regarding reimbursement for community behavioral health services, effective January 1, 2024. This amendment modifies payment rates, covered services, or billing requirements for behavioral health providers serving Medicaid patients.
Action Required
By January 1, 2024: Billing teams serving Ohio Medicaid patients must review the updated Rule 5160-27-03 for community behavioral health services. Contact Ohio Department of Medicaid at 614-752-3877 or review the full rule body to identify specific changes to reimbursement rates, covered services, or documentation requirements. Update billing systems and procedures accordingly for behavioral health claims.