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MedicaidCoverageLow impact

5160:1-2-50 - Medicaid: presumptive eligibility for pregnant women. (Rescind/Final File)

Ohio Medicaid·OH · OB-GYN, Family Medicine, Internal Medicine·Enrollment
Effective date
Jan 15, 2015
We identified it
Jun 20, 2026
Days to comply

Summary

Ohio has rescinded (eliminated) its Medicaid presumptive eligibility program for pregnant women, effective January 15, 2015. This rule change removes a pathway that previously allowed pregnant women to receive immediate temporary Medicaid coverage while their full application was being processed.

Action Required

Action needed
No immediate action required for current billing operations as this is a historical policy change from 2015 that has already been implemented. However, billing staff should be aware that Ohio Medicaid does not offer presumptive eligibility for pregnant women, so full Medicaid approval must be confirmed before billing.