MedicaidCoverageHigh impact
5160-4-23 - Covered ambulatory surgery center (ASC)surgical procedures. (Amend/Final File)
Ohio Medicaid·OH · General Surgery, Orthopedics, Ophthalmology +4 more·Medical Policy
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid updated Rule 5160-4-23 covering ambulatory surgery center (ASC) surgical procedures, effective January 1, 2024. This amendment modifies which surgical procedures are covered when performed in ASCs under Ohio Medicaid.
Action Required
Immediately: Billing team must review the updated Ohio Medicaid Rule 5160-4-23 to identify changes in covered ASC procedures. Verify current ASC procedure coverage against the new rule before submitting claims. Contact Ohio Medicaid at 614-752-3877 for clarification on specific procedure coverage changes.