MedicaidCoverageMedium impact
5160-34-01 - Intensive Behavioral Services for Children with Autism. (New/To Be Refiled)
Ohio Medicaid·OH · Pediatrics, Psychiatry·Specialty Services
Effective date
May 15, 2017
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has established Rule 5160-34-01 for intensive behavioral services for children with autism. This is a new rule that has gone through multiple filing stages and is currently marked as 'To Be Refiled' with an effective date of May 15, 2017.
Action Required
Billing team should monitor this Ohio Medicaid rule for final implementation as it is currently in 'To Be Refiled' status. Once active, ensure billing system can accommodate intensive behavioral services for children with autism under Ohio Medicaid. Contact Ohio Department of Medicaid at 614-752-3877 for current status and specific billing requirements.