MedicaidAdministrativeLow impact
5160-80-01 - Hearings conducted under authority of section 5160.37 of the Revised Code: definitions and scope of applicability. (New/Final File)
Ohio Medicaid·OH·Medical Policy
Effective date
Jun 13, 2016
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid has established new procedural rules for hearings conducted under section 5160.37 of the Revised Code, defining the scope and applicability of these administrative hearings. This appears to be a procedural/administrative framework rather than a direct billing policy change.
Action Required
No immediate action required for billing operations. This is an administrative rule establishing hearing procedures for Ohio Medicaid disputes. Billing teams should be aware that this framework exists for potential appeals or administrative hearings related to Ohio Medicaid claims disputes.