MedicaidAdministrativeMedium impact
5160-2-07.13 - Utilization control. (Rescind/Final File)
Ohio Medicaid·OH·Medical Policy
Effective date
Jun 12, 2022
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has rescinded (eliminated) Rule 5160-2-07.13 for Utilization Control, effective June 12, 2022. This rule previously governed utilization review requirements for Ohio Medicaid services, and its removal may eliminate certain prior authorization or documentation requirements that were previously in place.
Action Required
Review current Ohio Medicaid billing procedures to identify any utilization control requirements that may no longer apply due to this rule rescission. Verify with Ohio Medicaid or current policy documents what utilization review processes remain in effect. Contact Ohio Department of Medicaid at 614-752-3877 for clarification on current requirements.