MedicaidAdministrativeMedium impact
5160:1-1-62 - Medicaid: presumptive eligibility. (Rescind/Final File)
Ohio Medicaid·OH·Enrollment
Effective date
Jan 1, 2017
We identified it
Jun 20, 2026
Summary
Ohio Medicaid presumptive eligibility rule 5160:1-1-62 was rescinded effective January 1, 2017. This eliminates the presumptive eligibility process that allowed certain patients to receive temporary Medicaid coverage while their full application was being processed.
Action Required
Review current billing practices for Ohio Medicaid patients to ensure no claims are being processed under the rescinded presumptive eligibility provisions. Verify patient eligibility through standard Medicaid verification processes only. Update staff training materials to reflect that presumptive eligibility is no longer available in Ohio.