MedicaidAdministrativeMedium impact
5160-2-25 - Coordination of benefits: hospital services. (Amend/Final File)
Ohio Medicaid·OH·Medical Policy
Effective date
Jul 9, 2023
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid has updated Rule 5160-2-25 regarding coordination of benefits for hospital services. This is an amendment to existing coordination of benefits rules that took effect July 9, 2023, affecting how Medicaid coordinates with other insurance coverage for hospital-based services.
Action Required
For Ohio practices: Review current coordination of benefits procedures for Medicaid patients receiving hospital services. Ensure billing staff understand updated coordination rules when Medicaid is secondary payer. Verify proper sequencing of insurance claims for hospital-based services per Ohio Medicaid guidelines.