MedicaidAdministrativeLow impact
5160-70-04 - Chapter 119. hearings: initial scheduling, joinder of cases, attorney representation, authority of hearing examiners, prehearing conference, filing with depository agent, and withdrawal of notice of intended action. (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 hearing procedures under Rule 5160-70-04 for program integrity cases, covering initial scheduling, attorney representation, and prehearing conferences. This administrative rule affects how Medicaid disputes and appeals are handled in Ohio.
Action Required
No immediate billing changes required. This is an administrative rule governing hearing procedures for Medicaid disputes. Billing teams should be aware that any future Medicaid appeals or program integrity disputes in Ohio will follow these hearing procedures.