MedicaidAdministrativeMedium impact
5160-1-27.2 - Medicaid hold and review process for medicaid claims paid through state agencies other than the Ohio department of job and family services. (Amend/Final File)
Ohio Medicaid·OH·Medical Policy
We identified it
Jun 20, 2026
Summary
Ohio has updated Rule 5160-1-27.2 regarding the Medicaid hold and review process for claims paid through state agencies other than the Ohio Department of Job and Family Services. This policy change affects how certain Medicaid claims are processed and reviewed in Ohio.
Action Required
Ohio providers should review the updated Medicaid hold and review procedures for claims processed through non-ODJFS state agencies. Contact the Ohio Department of Medicaid at 614-752-3877 for specific guidance on how this may affect your claim submission and review processes.