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MedicaidAdministrativeMedium impact

5160-1-20 - Electronic data interchange (EDI) trading partner enrollment and testing. (New/Final File)

Ohio Medicaid·OH·Enrollment
Effective date
Dec 1, 2022
We identified it
Jun 20, 2026
Days to comply

Summary

Ohio Medicaid has updated Rule 5160-1-20 regarding Electronic Data Interchange (EDI) trading partner enrollment and testing requirements. This is a fresh policy change affecting how healthcare practices enroll and test their EDI connections with Ohio Medicaid.

Action Required

Action needed
By December 1, 2022: Billing team must review current EDI trading partner status with Ohio Medicaid and ensure compliance with new enrollment and testing requirements. Contact Tommi Potter at 614-752-3877 for specific enrollment procedures. Practices submitting claims electronically to Ohio Medicaid may need to complete new testing protocols.