MedicaidAdministrativeMedium impact
5160:1-2-13 - Medicaid: presumptive eligibility. (Amend/Final File)
Ohio Medicaid·OH·Enrollment
Effective date
Sep 1, 2023
We identified it
Jun 20, 2026
Summary
Ohio has updated Rule 5160:1-2-13 regarding Medicaid presumptive eligibility, with the most recent amendment filed August 14, 2023 and effective September 1, 2023. This rule change affects how patients may qualify for temporary Medicaid coverage while their full application is being processed.
Action Required
Billing team should verify current Ohio Medicaid presumptive eligibility guidelines and ensure staff understand the updated criteria for patients who may have temporary coverage while their full Medicaid application is processed. Contact Ohio Department of Medicaid at 614-752-3877 for specific implementation details if serving Ohio patients.