MedicaidAdministrativeLow impact
5160-3-70 - Nursing facilities (NFs): appeals for special focus facilities (SFFs) proposed for termination from the medicaid program. (New/Final File)
Ohio Medicaid·OH·Medical Policy
Effective date
Jul 10, 2022
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid has established new rule 5160-3-70 creating an appeals process for nursing facilities (NFs) designated as special focus facilities (SFFs) that are proposed for termination from the Medicaid program. This rule became effective July 10, 2022 and provides procedural protections for facilities facing termination.
Action Required
No immediate action required for medical billing teams. This policy establishes appeals procedures for nursing facilities facing Medicaid termination and does not affect billing codes, documentation requirements, or claim submission processes for healthcare providers.