MedicaidPrior AuthMedium impact
5160-2-13 - Utilization review. (New/Final File)
Ohio Medicaid·OH·Prior Authorization
Effective date
Jun 12, 2022
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid has updated Rule 5160-2-13 regarding utilization review processes. This is a new rule that became effective June 12, 2022, establishing utilization review requirements for Ohio Medicaid services.
Action Required
Review Ohio Medicaid's new utilization review rule 5160-2-13 to understand any new prior authorization or review requirements for Ohio Medicaid patients. Contact Ohio Department of Medicaid at 614-752-3877 for specific implementation guidance if treating Ohio Medicaid beneficiaries.