MedicaidAdministrativeMedium impact
5160-4-02.1 - "By-report" services. (Rescind/Final File)
Ohio Medicaid·OH·Medical Policy
Effective date
Jul 1, 2018
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has rescinded rule 5160-4-02.1 regarding 'by-report' services, which was effective July 1, 2018. This rule that governed billing procedures for unlisted or unusual services under Ohio Medicaid is no longer in effect.
Action Required
Review current billing practices for unlisted or unusual services billed to Ohio Medicaid. Billing team should verify alternative guidance from Ohio Medicaid for 'by-report' services and update billing procedures accordingly. Contact Ohio Medicaid at 614-752-3877 for current requirements on unlisted procedure billing.