MedicaidCoverageLow impact
5160-27-02 - Coverage and limitations of behavioral health services. (Amend/Final File)
Ohio Medicaid·OH · Psychiatry·Medical Policy
Effective date
Jul 1, 2022
We identified it
Jun 20, 2026
Summary
Ohio Medicaid Rule 5160-27-02 regarding behavioral health services coverage and limitations has been updated with an amendment that became effective July 1, 2022. This policy specifically governs Ohio Medicaid coverage for behavioral health services including mental health and substance abuse treatment.
Action Required
Review current Ohio Medicaid behavioral health billing practices to ensure compliance with Rule 5160-27-02. Billing teams handling Ohio Medicaid behavioral health claims should access the full rule text from the Ohio Department of Medicaid to verify coverage limitations and requirements are being followed correctly.