MedicaidAdministrativeLow impact
5160-3-04.1 - Payment to nursing facilities (NFs) during the survey agency's administrative appeals process. (Amend/Final File)
Ohio Medicaid·OH·Reimbursement
Effective date
Dec 10, 2017
We identified it
Jun 20, 2026
Summary
Ohio Medicaid policy 5160-3-04.1 addresses payment procedures for nursing facilities during administrative appeals processes. This appears to be a procedural rule for how nursing facilities receive payment while appealing survey findings, but specific billing changes are not detailed in the provided documentation.
Action Required
No immediate action required for typical medical billing teams. This policy applies specifically to nursing facility payments during administrative appeals in Ohio Medicaid. Contact Ohio Department of Medicaid at 614-752-3877 if your practice operates nursing facilities subject to survey appeals.