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MedicaidAdministrativeMedium impact

5160-1-60.2 - Direct reimbursement for out-of-pocket expense incurred for medicaid covered service. (Rescind/Final File)

Ohio Medicaid·OH·Reimbursement
Effective date
Jul 1, 2022
We identified it
Jun 20, 2026
Days to comply

Summary

Ohio Medicaid Rule 5160-1-60.2 regarding direct reimbursement for out-of-pocket expenses has been rescinded/finalized. This appears to be an administrative filing action that removes or modifies the rule allowing Medicaid recipients to receive direct reimbursement for covered services they paid out-of-pocket.

Action Required

Action needed
Ohio providers should verify current procedures for handling Medicaid patient out-of-pocket payments and reimbursement processes. Contact Ohio Department of Medicaid at 614-752-3877 for clarification on how this rescission affects patient reimbursement workflows and billing practices.