MedicaidAdministrativeMedium impact
5160-2-21.1 - Consumer co-payments for non-emergency emergency department services. (Rescind/Final File)
Ohio Medicaid·OH · Emergency Medicine·Medical Policy
Effective date
Jul 1, 2021
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has rescinded Rule 5160-2-21.1 regarding consumer co-payments for non-emergency emergency department services, effective July 1, 2021. This rule, which previously required patient co-payments for non-emergency ED visits, is no longer in effect.
Action Required
Review current billing practices for Ohio Medicaid patients receiving emergency department services for non-emergency conditions. Verify that billing system is not applying co-payment requirements that were eliminated when this rule was rescinded in July 2021. Update any billing documentation or staff training materials that reference the rescinded co-payment requirements.