MedicaidAdministrativeMedium impact
5160-26-12 - Managed care: member co-payments. (Amend/Final File)
Ohio Medicaid·OH·Managed Care
Effective date
Jan 1, 2023
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid amended Rule 5160-26-12 regarding managed care member co-payments, effective January 1, 2023. This policy change affects how co-payment requirements are structured for Ohio Medicaid managed care members.
Action Required
Since January 1, 2023: Billing teams treating Ohio Medicaid managed care members should review current co-payment collection procedures to ensure compliance with updated Rule 5160-26-12. Contact Ohio Department of Medicaid at 614-752-3877 for specific co-payment requirement details. Verify billing system settings align with current Ohio Medicaid managed care co-payment rules.