MedicaidReimbursementMedium impact
5160-2-77 - Consumer co-payments for non-emergency emergency department services. (New/Final File)
Ohio Medicaid·OH · Emergency Medicine·Medical Policy
Effective date
Jul 1, 2021
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has implemented a new policy requiring consumer co-payments for non-emergency emergency department services. This policy applies to Medicaid patients who use emergency departments for non-urgent care that could be treated elsewhere.
Action Required
Review emergency department billing procedures for Ohio Medicaid patients to ensure proper co-payment collection for non-emergency visits. Update front desk staff training on co-payment requirements for non-urgent ED services. Verify billing system can handle Medicaid co-payment processing for emergency visits deemed non-emergent.