MedicaidAdministrativeMedium impact
5160:1-1-63.2 - Medicaid: continuous eligibility for children younger than age nineteen. (Rescind/Final File)
Ohio Medicaid·OH · Pediatrics, Family Medicine·Enrollment
Effective date
Aug 1, 2016
We identified it
Jun 20, 2026
Summary
Ohio has rescinded Rule 5160:1-1-63.2 regarding Medicaid continuous eligibility for children under 19. This rule was officially rescinded effective August 1, 2016, eliminating the continuous eligibility protections that were previously in place for pediatric Medicaid patients.
Action Required
For Ohio Medicaid patients under 19: Verify eligibility at each visit as continuous eligibility protections no longer apply. Update front desk procedures to check Medicaid eligibility status for all pediatric patients at registration. Consider implementing monthly eligibility verification for ongoing treatments to prevent claim denials due to coverage lapses.