MedicaidAdministrativeMedium impact
5160:1-2-02 - Medicaid: income guidelines, calculations, and exclusions. (Amend/Final File)
Ohio Medicaid·OH·Medical Policy
Effective date
Jan 1, 2023
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid updated Rule 5160:1-2-02 regarding Medicaid income guidelines, calculations, and exclusions with an amendment that took effect January 1, 2023. This policy change affects how Medicaid eligibility is determined based on income calculations and what income sources are excluded from eligibility determinations.
Action Required
Billing team should verify current Medicaid eligibility for Ohio patients more frequently as income calculation changes may affect patient coverage status. Update patient registration processes to capture any income changes that could impact Medicaid eligibility under the new guidelines. Contact Ohio Medicaid eligibility department at 614-752-3877 if questions arise about patient coverage verification.