MedicaidAdministrativeMedium impact
5160-4-17 - Gastroenterology, otorhinolaryngology, endocrinology, neurology, photodynamic therapy and special dermatology services. (Rescind/Final File)
Ohio Medicaid·OH · Gastroenterology, ENT (Ear, Nose & Throat), Endocrinology +2 more·Medical Policy
Effective date
Jan 1, 2017
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid Rule 5160-4-17 covering gastroenterology, ENT, endocrinology, neurology, photodynamic therapy and special dermatology services has been rescinded with a final effective date of January 1, 2017. This rule is no longer in effect for Ohio Medicaid claims.
Action Required
Review current billing practices for Ohio Medicaid patients receiving gastroenterology, ENT, endocrinology, neurology, photodynamic therapy or special dermatology services. Verify that current Ohio Medicaid policies are being followed since Rule 5160-4-17 was rescinded in 2017. Contact Ohio Medicaid at 614-752-3877 for current coverage guidelines if needed.