MedicaidAdministrativeLow impact
5160-3-24 - Nursing facilities (NFs): prospective rate reconsideration for possible calculation errors. (Amend/Final File)
Ohio Medicaid·OH·Reimbursement
Effective date
Nov 24, 2019
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has updated Rule 5160-3-24 regarding the process for nursing facilities to request prospective rate reconsideration when calculation errors are suspected. This administrative rule amendment affects how nursing facilities can challenge their Medicaid reimbursement rate calculations.
Action Required
No immediate action required for typical medical billing teams. This rule applies specifically to nursing facilities in Ohio that need to request rate reconsiderations from Ohio Medicaid for suspected calculation errors in their prospective payment rates.