MedicaidAdministrativeMedium impact
5160:1-3-05.1 - Medicaid: resource requirement. (New/Final File)
Ohio Medicaid·OH·Medical Policy
Effective date
Apr 1, 2022
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid has updated Rule 5160:1-3-05.1 regarding Medicaid resource requirements for eligibility determination. This administrative rule change affects how patient Medicaid eligibility is assessed and may impact billing for Medicaid patients in Ohio.
Action Required
Billing team should review current Medicaid eligibility verification processes for Ohio patients. Contact Ohio Department of Medicaid at 614-752-3877 (Tommi Potter) for clarification on any eligibility questions. Verify patient eligibility more frequently if resource requirements have changed, as eligibility changes could affect claim processing.