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MedicaidReimbursementMedium impact

5160-2-50 - Supplemental upper limit payments for inpatient and outpatient hospital services. (Rescind/Final File)

Ohio Medicaid·OH·Medical Policy
Effective date
Jun 14, 2021
We identified it
Jun 20, 2026
Days to comply

Summary

Ohio Medicaid has rescinded Rule 5160-2-50 regarding supplemental upper limit payments for inpatient and outpatient hospital services, effective June 14, 2021. This removes the regulatory framework that previously governed supplemental payments to hospitals under Ohio Medicaid.

Action Required

Action needed
Hospital billing teams should verify that no supplemental upper limit payment processes remain active in their systems for Ohio Medicaid claims. Review any outstanding claims or payment reconciliations that may have relied on this rescinded rule and consult with Ohio Medicaid for guidance on any transition procedures.