MedicaidAdministrativeMedium impact
5160-4-06 - Specific provisions for evaluation and management (E&M) services. (Amend/Final File)
Ohio Medicaid·OH·Medical Policy
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid has updated rule 5160-4-06 regarding specific provisions for evaluation and management (E&M) services, with the most recent amendment effective January 1, 2024. This policy change affects billing procedures for E&M services under Ohio Medicaid.
Action Required
Billing team should review the updated Ohio Medicaid rule 5160-4-06 for E&M services that became effective January 1, 2024. Contact Ohio Department of Medicaid at 614-752-3877 or review the full rule text at the provided URL to understand specific changes to E&M billing requirements for Ohio Medicaid patients.