MedicaidAdministrativeMedium impact
5160-4-12 - Immunizations, injections and infusions (including trigger-point injections), skin substitutes, and provider-administered pharmaceuticals. (Amend/Final File)
Ohio Medicaid·OH·Medical Policy
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid has filed an amendment to Rule 5160-4-12 covering immunizations, injections, infusions (including trigger-point injections), skin substitutes, and provider-administered pharmaceuticals. This appears to be a procedural filing update to an existing Medicaid policy.
Action Required
Monitor for the actual rule text and implementation details from Ohio Department of Medicaid. Contact Tommi Potter at 614-752-3877 for clarification on specific changes to billing requirements for immunizations, injections, infusions, trigger-point injections, skin substitutes, and provider-administered pharmaceuticals for Ohio Medicaid patients.