MedicaidCoverageMedium impact
5160:1-3-02.5 - Medicaid: supplemental security income (SSI) recipients qualifying under section 1619 of the Social Security Act for continued medical assistance coverage. (Amend/Final File)
Ohio Medicaid·OH·Medical Policy
Effective date
Jul 1, 2023
We identified it
Jun 20, 2026
Summary
Ohio has amended Medicaid eligibility rules for SSI recipients qualifying under section 1619 of the Social Security Act for continued medical assistance coverage. This affects billing for Medicaid patients who maintain medical coverage despite earning income above SSI limits.
Action Required
Billing team should review current Medicaid eligibility verification processes to ensure proper identification of SSI recipients qualifying under section 1619. Verify coverage status for patients who may have previously lost Medicaid due to income but could be eligible for continued coverage under this provision.