MedicaidAdministrativeMedium impact
5160-70-01 - Chapter 119. Hearing or Administrative Reconsideration Procedures for Medicaid Providers. (New/Final File)
Ohio Medicaid·OH·Program Integrity
Effective date
Jan 1, 2015
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid has established new administrative hearing and reconsideration procedures for Medicaid providers. This creates a formal process for providers to appeal Medicaid decisions, claims denials, or other administrative actions through Chapter 119 procedures.
Action Required
Billing and administrative teams should review the new Chapter 119 hearing procedures and document the process for appealing Medicaid claim denials or administrative decisions. Contact Ohio Department of Medicaid at 614-752-3877 for specific guidance on filing appeals or reconsiderations.