MedicaidCoverageMedium impact
5160-2-17 - Provision of basic, medically necessary hospital-level services. (New/Final File)
Ohio Medicaid·OH·Medical Policy
Effective date
Jul 28, 2022
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid has finalized Rule 5160-2-17 regarding the provision of basic, medically necessary hospital-level services. This is a new rule that became effective on July 28, 2022, establishing standards for what constitutes medically necessary hospital services under Ohio Medicaid.
Action Required
Ohio providers: Review the new Rule 5160-2-17 to understand Ohio Medicaid's definition and requirements for basic, medically necessary hospital-level services. Contact Ohio Department of Medicaid at 614-752-3877 for specific implementation guidance. Ensure billing practices align with the new rule requirements for Medicaid hospital service claims.