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5160-5-04 - Dental program: covered preventive services and limitations. (Rescind/Final File)

Ohio Medicaid·OH · Dentistry, Oral & Maxillofacial Surgery·Specialty Services
Effective date
Jan 1, 2016
We identified it
Jun 23, 2026
Days to comply

Summary

Ohio Medicaid has rescinded Rule 5160-5-04 which governed covered preventive dental services and limitations. This rescission means the specific rule defining dental preventive service coverage and billing limitations for Ohio Medicaid patients is no longer in effect as of January 1, 2016.

Action Required

Action needed
Review current Ohio Medicaid dental billing procedures to ensure compliance with updated guidance that replaced rescinded Rule 5160-5-04. Contact Ohio Department of Medicaid at 614-752-3877 for current preventive dental service coverage guidelines and billing requirements.