MedicaidAdministrativeMedium impact
5160-2-07.12 - Appeals and reconsideration of departmental determinations regarding hospital inpatient and outpatient services. (Rescind/Final File)
Ohio Medicaid·OH·Medical Policy
Effective date
Jun 12, 2022
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid has rescinded Rule 5160-2-07.12, which governed the appeals and reconsideration process for departmental determinations regarding hospital inpatient and outpatient services. This rule was officially rescinded with a final file date of June 2, 2022, and became effective June 12, 2022.
Action Required
Review current appeals procedures for Ohio Medicaid hospital service denials. Billing team should identify alternative appeals processes that replaced this rescinded rule by contacting Ohio Department of Medicaid or reviewing current Ohio Administrative Code for updated appeals procedures. Document any changes to appeals workflow for hospital inpatient and outpatient service determinations.