MedicaidAdministrativeLow impact
5160:1-6-03.1 - Medicaid: determining financial eligibility for medical assistance using the special income level. (Amend/Final File)
Ohio Medicaid·OH·Enrollment
Effective date
Dec 1, 2023
We identified it
Jun 20, 2026
Summary
Ohio Medicaid updated Rule 5160:1-6-03.1 regarding financial eligibility determination for medical assistance using special income levels, effective December 1, 2023. This administrative change affects how Medicaid eligibility is determined for certain beneficiaries but does not appear to directly impact billing codes or reimbursement rates.
Action Required
No immediate billing system changes required. Billing team should be aware that some patients' Medicaid eligibility determination process may be affected by updated income level calculations. Verify current Medicaid eligibility for all Ohio patients as usual through standard eligibility verification processes.