MedicaidCoverageMedium impact
5160:1-3-02.4 - Medicaid: coverage for the categorically needy. (Amend/Final File)
Ohio Medicaid·OH·Medical Policy
Effective date
Jul 1, 2023
We identified it
Jun 20, 2026
Summary
Ohio Medicaid rule 5160:1-3-02.4 regarding coverage for categorically needy populations has been amended. This policy change affects Medicaid eligibility and coverage determinations for certain patient populations in Ohio.
Action Required
Ohio providers should review current Medicaid patient eligibility verification processes to ensure compliance with updated categorically needy coverage requirements. Verify that billing systems properly identify and process claims for categorically needy Medicaid beneficiaries according to the amended rule.