MedicaidAdministrativeLow impact
5160-80-04 - Denial and dismissal of hearing requests. (New/Final File)
Ohio Medicaid·OH·Program Integrity
Effective date
Jun 13, 2016
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has updated Rule 5160-80-04 regarding denial and dismissal of hearing requests. This administrative rule change affects the process for handling hearing requests related to Medicaid claims disputes and appeals.
Action Required
No immediate billing changes required. This is an administrative rule regarding hearing request procedures. Billing teams should be aware that if they need to file appeals or hearing requests for denied Ohio Medicaid claims, the process may have updated requirements for dismissal criteria.