Who is affected by this change?

This affects CareSource in OH on Medicaid plans.

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MedicaidAdministrativeMedium impact

[Ohio] OAC Rule 5160-1-17.9 Ordering, Referring and Prescribing Providers

CareSource·OH·Provider Bulletin

Effective date

Not stated

We identified it

Jun 13, 2026

Days to comply

—

Summary

Ohio Administrative Code Rule 5160-1-17.9 updates requirements for ordering, referring and prescribing providers, focusing on NPI requirements for network providers. This appears to be related to CareSource Ohio Medicaid managed care provider network notifications for 2026.

Action Required

Action needed

Review CareSource provider notification document to understand new NPI requirements for ordering, referring, and prescribing providers in Ohio Medicaid network. Ensure all providers who order, refer, or prescribe services have proper NPI registration and network status verification for 2026 compliance.