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5160-12-08 - Registered nurse assessment and registered nurse consultation services. (New/Original File)
Effective date
Dec 3, 2026
Identified
Nov 3, 2026
Previous versions
Summary
The Ohio Department of Medicaid filed a new rule (5160-12-08) on registered nurse assessment and consultation services, effective December 3, 2026. The source document provided is an index listing of regulatory filings and historical actions but does not contain the actual rule text, specific billing codes, coverage criteria, or billing requirements needed to determine what your practice must do.
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What to do
Action · 3 steps
01Before 2026-12-03: Obtain and review the full rule text for 5160-12-08 from the Ohio Register or Ohio Department of Medicaid (contact Tommi Potter, 614-752-3877) to identify specific billing codes, coverage rules, prior authorization requirements, and documentation standards for registered nurse assessment and consultation services.
02Update charge entry, prior authorization tracking, and provider/front desk notices based on the rule's specific requirements.
03Monitor for any payer guidance updates after the effective date.
Original notice
5160-12-08 - Registered nurse assessment and registered nurse consultation services. (New/Original File)
registerofohio.state.oh.us · Always check the source before changing claims.