MedicaidAdministrativeMedium impact
5160-4-03 - Physician assistants. (Rescind/Final File)
Ohio Medicaid·OH·Medical Policy
Effective date
Jan 1, 2022
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid rescinded the old physician assistant rule (5160-4-03) and replaced it with a new rule titled 'Services provided by a physician assistant' effective January 1, 2022. This represents a complete overhaul of how physician assistant services are regulated under Ohio Medicaid.
Action Required
By January 1, 2022: Billing teams working with Ohio Medicaid must review the new 'Services provided by a physician assistant' rule to understand updated requirements for PA services. Verify that current PA billing practices comply with the new Ohio Medicaid regulations. Contact Ohio Department of Medicaid at 614-752-3877 for specific guidance on compliance requirements.