MedicaidPrior AuthMedium impact
5160-2-40 - Psychiatric pre-certification review. (New/Final File)
Ohio Medicaid·OH · Psychiatry·Medical Policy
Effective date
Jun 12, 2022
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid has finalized a new rule specifically for psychiatric pre-certification review, replacing the general pre-certification review rule. This creates a separate, specialized pre-authorization process for psychiatric services under Ohio Medicaid.
Action Required
Billing team should review the new psychiatric pre-certification requirements for Ohio Medicaid patients. Verify current pre-authorization processes for psychiatric services comply with the updated rule 5160-2-40. Contact Ohio Medicaid at 614-752-3877 for specific requirements if providing psychiatric services to Medicaid patients.