MedicaidAdministrativeMedium impact
5160-1-80 - Substitute practitioners (locum tenens). (Amend/Final File)
Ohio Medicaid·OH·Medical Policy
Effective date
Oct 1, 2023
We identified it
Jun 20, 2026
Summary
Ohio Medicaid updated Rule 5160-1-80 regarding substitute practitioners (locum tenens) with the most recent amendment taking effect October 1, 2023. This policy governs how billing and reimbursement works when substitute physicians provide services in place of regular practitioners under Ohio Medicaid.
Action Required
Review current locum tenens billing procedures for Ohio Medicaid patients to ensure compliance with updated Rule 5160-1-80. Verify that substitute practitioner arrangements and billing methods align with the amended policy requirements. Contact Ohio Department of Medicaid at 614-752-3877 if clarification is needed on specific billing scenarios.