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Ohio MedicaidMedicaid · Reimbursement · Reimbursement · OHMedium impact

5160-1-05.3 - Payment for "Medicare Part B" cost sharing. (Amend/Original File)

Act
by Nov 2, 2026
Effective date
Nov 2, 2026
Identified
Oct 3, 2026
Replaced. This version was replaced by 5160-1-05.3 - Payment for "Medicare Part B" cost sharing. (Amend/Revise) (effective Nov 2, 2026).

Summary

Ohio Department of Medicaid has filed an amendment to Rule 5160-1-05.3 regarding payment for Medicare Part B cost sharing. However, the actual policy content/details are not provided in this filing document—only metadata about the rule's history and filing status are available. The specific changes to cost sharing payments cannot be determined from the information supplied.

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What to do

by Nov 2, 2026 · 2 steps
01Billing team must obtain and review the complete Rule 5160-1-05.3 amendment text from the Ohio Department of Medicaid (contact: Tommi Potter, 614-752-3877) to understand specific changes to Medicare Part B cost sharing payment policies.
02Once details are available, assess impact on Medicaid billing workflows, update billing system rules if necessary, and train billing staff on any changes to cost sharing calculations or claim submission.
If missed: Failure to comply with updated Medicaid payment rules may result in claim denials or payment adjustments.

Original notice

5160-1-05.3 - Payment for "Medicare Part B" cost sharing. (Amend/Original File)
registerofohio.state.oh.us · Always check the source before changing claims.
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