MedicaidAdministrativeLow impact
5160-1-13.1 - Medicaid recipient liability. (New/Final File)
Ohio Medicaid·OH·Medical Policy
Effective date
Jan 1, 2020
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has updated Rule 5160-1-13.1, changing the terminology from 'Medicaid consumer liability' to 'Medicaid recipient liability' effective January 1, 2020. This appears to be primarily a terminology standardization with the previous rule being rescinded and replaced.
Action Required
No immediate action required for billing team. This is a terminology change from 'consumer' to 'recipient' in Ohio Medicaid documentation. Review any internal documentation or forms that reference Medicaid consumer liability and update to use 'recipient liability' terminology for consistency with current Ohio Medicaid rules.