MedicaidCoverageMedium impact
5160-4-11 - Place-of-service restrictions for diagnostic and therapeutic procedures. (Rescind/Final File)
Ohio Medicaid·OH·Medical Policy
Effective date
Jan 1, 2019
We identified it
Jun 20, 2026
Summary
Ohio Medicaid Rule 5160-4-11 regarding place-of-service restrictions for diagnostic and therapeutic procedures has been rescinded as of January 1, 2019. This means previous restrictions on where certain procedures could be performed for Ohio Medicaid patients are no longer in effect.
Action Required
Review current billing practices for Ohio Medicaid patients to ensure you are taking advantage of expanded place-of-service options for diagnostic and therapeutic procedures. Verify that your billing system is not unnecessarily restricting procedure locations based on the rescinded rule. Contact Ohio Medicaid at 614-752-3877 if clarification is needed on current place-of-service requirements.