MedicaidCoverageMedium impact
5160-10-06 - DMEPOS: wearable cardioverter-defibrillators. (New/Final File)
Ohio Medicaid·OH · Cardiology, Internal Medicine, Family Medicine·Medical Policy
Effective date
Sep 1, 2021
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has established a new policy (5160-10-06) for wearable cardioverter-defibrillators under DMEPOS coverage, effective September 1, 2021. This policy replaces previous prior authorization requirements that were rescinded in 2018.
Action Required
For Ohio Medicaid patients: Review current billing procedures for wearable cardioverter-defibrillators to ensure compliance with Ohio Medicaid DMEPOS policy 5160-10-06. Verify coverage criteria and documentation requirements for these devices through Ohio Medicaid guidelines.