MedicaidCoverageHigh impact
5160-5-05 - Dental program: covered restorative 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
Summary
Ohio Medicaid has rescinded rule 5160-5-05 regarding covered dental restorative services and limitations. This rule removal eliminates previous coverage guidelines and limitations for dental restorative procedures under Ohio Medicaid.
Action Required
Immediately: Billing team should verify current Ohio Medicaid dental coverage policies through the Ohio Department of Medicaid website or contact Tommi Potter at 614-752-3877. Review all pending and future dental restorative procedure claims for Ohio Medicaid patients to ensure compliance with current coverage guidelines since the previous rule framework has been rescinded.