5101:3-11-05 Laboratory specimens sent to the Ohio department of health (ODH) state laboratories.

(A) Providers may not bill the department for procedures performed by the Ohio department of health (ODH) state laboratory.

(B) All Ohio medicaid providers who wish to utilize the ODH state laboratory for laboratory tests performed for medicaid consumers must:

(1) Complete the top portion of the CMS 1500 claim form (rev. September 2003), for each consumer (i.e., consumers information only).

(2) Include the CMS 1500 claim form along with all other attachments required by ODH in the package with the specimen and submit to ODH.

(3) Not attach the prepaid stamp that ODH normally requires before the test is performed.

(C) The ODH state laboratory will complete the CMS 1500 claim form and submit the claim for payment.

Effective: 05/25/2006
R.C. 119.032 review dates: 03/09/2006 and 05/01/2011
Promulgated Under: 119.03
Statutory Authority: 5111.02
Rule Amplifies: 5111.01 , 5111.02
Prior Effective Dates: 2/17/91, 8/1/2001