MedicaidAdministrativeLow impact
5160-70-03 - Chapter 119. hearings: department notice, making a hearing request, and failure to make a hearing request. (New/Final File)
Ohio Medicaid·OH·Program Integrity
Effective date
Jan 1, 2015
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has finalized new hearing procedures under Rule 5160-70-03 that establish formal processes for department notices, making hearing requests, and consequences of failing to request hearings. This creates structured administrative procedures for providers to challenge Medicaid decisions or determinations.
Action Required
Review Ohio Medicaid hearing procedures to understand the formal process for requesting hearings if challenging any Medicaid decisions or determinations. Ensure billing team knows how to properly submit hearing requests if needed for claim disputes or program integrity issues.