MedicaidAdministrativeLow impact
5160-70-02 - Procedures for Providers Seeking Review of Department Actions or Proposed Department Actions. (New/Final File)
Ohio Medicaid·OH·Medical Policy
Effective date
Jan 1, 2015
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid has established formal procedures for healthcare providers to request review of department actions or proposed actions. This creates a structured appeal process for providers who disagree with Medicaid department decisions affecting their practice or reimbursement.
Action Required
No immediate action required for billing operations. Providers should be aware that formal review procedures exist for challenging Ohio Medicaid department decisions. Contact Tommi Potter at 614-752-3877 for questions about the review process.