MedicaidAdministrativeLow impact
5160-3-43.4 - Exception review process for nursing facilities (NFs). (Amend/Final File)
Ohio Medicaid·OH · Geriatrics, Internal Medicine, Family Medicine·Medical Policy
Effective date
Mar 1, 2016
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has updated the exception review process for nursing facilities (NFs) under rule 5160-3-43.4. This policy amendment affects how exceptions are reviewed and processed for nursing facility services covered by Ohio Medicaid.
Action Required
No immediate action required for billing teams unless your practice provides services to nursing facility patients covered by Ohio Medicaid. If applicable, review current exception request procedures to ensure compliance with updated Ohio Medicaid guidelines.