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5160-1-60.2 - Direct reimbursement for out-of-pocket expenses incurred for medicaid covered services during approved eligibility periods. (Amend/Original File)
Act
by Nov 16, 2026
Effective date
Nov 16, 2026
Identified
Oct 17, 2026
Summary
Ohio Department of Medicaid has filed an amendment to rule 5160-1-60.2 governing direct reimbursement for out-of-pocket expenses incurred for Medicaid-covered services during approved eligibility periods. The amendment is scheduled to become effective on November 16, 2026. The specific policy modifications are not detailed in the filing notice, so the billing team should obtain the full amended rule text to identify what operational or reimbursement changes apply.
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What to do
by Nov 16, 2026 · 4 steps
01Obtain and review the complete amended rule 5160-1-60.2 from the Ohio Department of Medicaid (contact: Tommi Potter, 614-752-3877).
02Billing and compliance teams should identify any changes to out-of-pocket expense reimbursement workflows, eligibility verification, claim submission requirements, or documentation standards.
03Update internal billing system logic, claim templates, and staff training materials to reflect the amendment's requirements before the effective date.
04Verify whether the practice currently processes direct reimbursement claims for Medicaid out-of-pocket expenses and confirm whether the amendment affects submission procedures, approval processes, or reimbursement calculations.
Original notice
5160-1-60.2 - Direct reimbursement for out-of-pocket expenses incurred for medicaid covered services during approved eligibility periods. (Amend/Original File)
registerofohio.state.oh.us · Always check the source before changing claims.