MedicaidCoverageMedium impact
5160:1-2-12 - Medicaid: non-citizens. (Amend/Original File)
Ohio Medicaid·OH·Medical Policy
Effective date
Jun 29, 2026
We identified it
Jun 30, 2026
Summary
This is an Ohio Department of Medicaid rule amendment (5160:1-2-12) governing eligibility for non-citizens under Medicaid. The policy has been filed as an Original File Amendment effective June 29, 2026, but the specific content changes are not detailed in the provided source material. Billing teams should review the full rule body when published to determine if eligibility verification or documentation requirements for non-citizen beneficiaries have changed.
Action Required
By June 29, 2026: Billing team must review the final rule text for 5160:1-2-12 from the Ohio Register to identify specific eligibility verification changes for non-citizen Medicaid beneficiaries. Contact the Ohio Department of Medicaid (614-752-3877, Tommi Potter) if clarification is needed. Update eligibility verification processes and patient intake forms if non-citizen documentation or verification requirements have changed. Ensure front-desk and registration staff are trained on any new requirements before the effective date. Failure to properly verify non-citizen eligibility may result in claim denials or recoupment.