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MedicaidAdministrativeMedium impact

5160-4-03 - Services provided by a physician assistant. (New/Final File)

Ohio Medicaid·OH·Medical Policy
Effective date
Jan 1, 2022
We identified it
Jun 20, 2026
Days to comply

Summary

Ohio Medicaid has updated Rule 5160-4-03 regarding services provided by physician assistants, replacing the previous 'Physician assistants' rule. This represents a policy refinement that became effective January 1, 2022, and may affect how PA services are billed to Ohio Medicaid.

Action Required

Action needed
Review current billing practices for physician assistant services billed to Ohio Medicaid to ensure compliance with updated Rule 5160-4-03. Contact Ohio Department of Medicaid at 614-752-3877 for specific guidance on any changes to PA billing requirements or documentation standards.