MedicaidAdministrativeLow impact
5160:1-2-40 - Medicaid: presumptive eligibility for children younger than age nineteen. (Rescind/Final File)
Ohio Medicaid·OH · Pediatrics, Family Medicine·Enrollment
Effective date
Jan 15, 2015
We identified it
Jun 20, 2026
Summary
Ohio has rescinded Rule 5160:1-2-40 regarding Medicaid presumptive eligibility for children under 19 years old. This rule was officially rescinded on January 15, 2015, meaning the presumptive eligibility process for pediatric Medicaid patients in Ohio is no longer governed by this specific regulation.
Action Required
No immediate action required. This is a historical policy rescission from 2015 that removed Ohio's Medicaid presumptive eligibility rule for children under 19. Billing teams should verify current Ohio Medicaid eligibility verification procedures with the Ohio Department of Medicaid if handling pediatric Medicaid claims in Ohio.