MedicaidAdministrativeLow impact
5160-80-06 - Rights and responsibility of the parties and hearing examiner. (New/Final File)
Ohio Medicaid·OH·Program Integrity
Effective date
Jun 13, 2016
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has finalized Rule 5160-80-06 establishing rights and responsibilities for parties and hearing examiners in program integrity proceedings. This rule defines the procedural framework for hearings related to Medicaid program integrity matters, including appeals and disputes.
Action Required
No immediate action required for billing operations. This is an administrative rule governing hearing procedures for program integrity matters. Billing teams should be aware that this rule exists if they need to participate in Medicaid program integrity hearings or appeals in Ohio.