MedicaidCoverageMedium impact
5160-11-03.3 - Laboratory-related services: provisions specific to independent diagnostic testing facility (IDTF) services. (Rescind/Final File)
Ohio Medicaid·OH · Diagnostic Imaging·Medical Policy
Effective date
Jan 1, 2021
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has rescinded Rule 5160-11-03.3 which governed laboratory services provisions for Independent Diagnostic Testing Facilities (IDTFs). This rule was officially rescinded on January 1, 2021, meaning IDTF-specific provisions under this rule are no longer in effect for Ohio Medicaid.
Action Required
Review current laboratory billing procedures for Ohio Medicaid patients to ensure compliance with current regulations since IDTF-specific provisions under Rule 5160-11-03.3 are no longer in effect. Billing team should verify that laboratory claims are being processed under current Ohio Medicaid laboratory billing guidelines and contact Ohio Medicaid at 614-752-3877 if clarification is needed on current IDTF billing requirements.