MedicaidAdministrativeMedium impact
5160:1-6-06.5 - Medicaid: restricted medicaid coverage period. (Amend/Final File)
Ohio Medicaid·OH·Medical Policy
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has updated rule 5160:1-6-06.5 regarding restricted Medicaid coverage periods, with the latest amendment taking effect January 1, 2024. This policy change affects how restricted Medicaid coverage is administered and may impact eligibility verification and billing processes for Ohio Medicaid patients.
Action Required
Immediately: Ohio providers should contact Ohio Department of Medicaid (Tommi Potter, 614-752-3877) to obtain the full rule text for 5160:1-6-06.5 to understand specific changes to restricted Medicaid coverage periods. Review current eligibility verification processes for Ohio Medicaid patients and update procedures as needed based on the new rule requirements.