MedicaidAdministrativeMedium impact
5160-4-22 - Surgical services. (Amend/Final File)
Ohio Medicaid·OH · General Surgery, Orthopedics, Cardiothoracic Surgery +8 more·Medical Policy
Effective date
Jan 1, 2022
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has updated Rule 5160-4-22 for surgical services with a final amendment effective January 1, 2022. This is an administrative filing update to the existing surgical services policy framework, but the specific clinical or billing changes are not detailed in the provided documentation.
Action Required
Contact Ohio Department of Medicaid at 614-752-3877 (Tommi Potter) to obtain the full rule body and specific changes to surgical services billing requirements. Review any updated prior authorization, coverage, or documentation requirements that may affect surgical procedure billing for Ohio Medicaid patients.