MedicaidAdministrativeMedium impact
5160-1-19 - Submission of medicaid claims. (New/Final File)
Ohio Medicaid·OH·Medical Policy
Effective date
Feb 1, 2023
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid has finalized a new rule 5160-1-19 regarding submission of Medicaid claims, effective February 1, 2023. This policy replaces the previous 'Claim submission' rule and establishes updated requirements for how providers must submit claims to Ohio Medicaid.
Action Required
By February 1, 2023: Billing team must review and implement the new Ohio Medicaid claim submission requirements under rule 5160-1-19. Access the full rule body from the Ohio Department of Medicaid to understand specific submission procedures and ensure compliance with the updated requirements. Contact Tommi Potter at 614-752-3877 for clarification if needed.