MedicaidCoverageMedium impact
5160-8-53 - Diabetes prevention and self-management training. (New/Final File)
Ohio Medicaid·OH · Endocrinology, Family Medicine, Internal Medicine·Medical Policy
Effective date
Jan 1, 2022
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has implemented a new policy (Rule 5160-8-53) establishing coverage and billing guidelines for diabetes prevention and self-management training services. This policy became effective January 1, 2022, and provides framework for billing these educational services to Ohio Medicaid beneficiaries.
Action Required
Billing team should review the complete Rule 5160-8-53 policy document to understand specific coverage criteria, eligible provider requirements, and billing procedures for diabetes prevention and self-management training services for Ohio Medicaid patients. Update billing protocols accordingly for these educational services.