MedicaidAdministrativeMedium impact
5160-27-06 - Therapeutic behavioral group service-hourly and per diem. (Amend/Final File)
Ohio Medicaid·OH · Psychiatry·Specialty Services
Effective date
Mar 1, 2022
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has updated Rule 5160-27-06 regarding therapeutic behavioral group services billing for both hourly and per diem rates. This amendment affects practices providing behavioral health group therapy services to Ohio Medicaid beneficiaries.
Action Required
Review current billing practices for therapeutic behavioral group services to Ohio Medicaid patients. Verify billing procedures align with updated Rule 5160-27-06 requirements for both hourly and per diem billing structures. Contact Ohio Department of Medicaid at 614-752-3877 for specific rule details and compliance requirements.