MedicaidReimbursementMedium impact
5160-2-22 - Non-DRG prospective payment for hospital services. (Amend/Final File)
Ohio Medicaid·OH·Reimbursement
Effective date
Dec 5, 2019
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has filed an amendment to Rule 5160-2-22 regarding Non-DRG prospective payment for hospital services. This appears to be a procedural filing with the most recent amendment becoming effective December 5, 2019, replacing previous reasonable cost and cost-related reimbursement methods.
Action Required
Review current Ohio Medicaid hospital billing procedures to ensure compliance with Non-DRG prospective payment methodology. Billing team should verify that hospital claims are being submitted using prospective payment rates rather than cost-based reimbursement methods for Ohio Medicaid patients.