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5160-4-31 - Coverage of extra-corporeal-membrane-oxygenator (ECMO) services. (Rescind/Final File)

Ohio Medicaid·OH · Critical Care, Cardiothoracic Surgery, Cardiology +2 more·Medical Policy
Effective date
Sep 1, 2017
We identified it
Jun 20, 2026
Days to comply

Summary

Ohio Medicaid has rescinded its policy covering extra-corporeal membrane oxygenator (ECMO) services as of September 1, 2017. This means Ohio Medicaid no longer provides coverage for ECMO procedures and related services.

Action Required

Action needed
Immediately: Stop billing Ohio Medicaid for ECMO services and related procedures. Billing team must update system to flag ECMO claims for Ohio Medicaid patients as non-covered. Providers must inform Ohio Medicaid patients that ECMO services are not covered and explore alternative payment arrangements or transfer options.