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5160-2-76 - Outpatient hospital behavioral health services. (Rescind/Final File)

Ohio Medicaid·OH · Psychiatry·Specialty Services
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Days to comply

Summary

Ohio Medicaid has rescinded Rule 5160-2-76 regarding outpatient hospital behavioral health services, effective January 1, 2024. This rule, which was originally implemented in 2020, has been completely removed from Ohio Medicaid policy.

Action Required

Action needed
Immediately: Billing teams serving Ohio Medicaid patients should verify current billing procedures for outpatient hospital behavioral health services. Contact Ohio Department of Medicaid at 614-752-3877 to confirm applicable billing guidelines since the previous rule framework has been rescinded. Review any pending or denied claims for behavioral health services to ensure compliance with current requirements.