Section 5162.90
(A) As used in this section:
(1) "Artificial intelligence" means a machine-based system that, for explicit or implicit objectives, infers, from the input it receives, how to generate outputs such as predictions, content, recommendations, or decisions that can influence physical or virtual environments. "Artificial intelligence" includes generative artificial intelligence.
(2) "Automated review tools" include artificial intelligence, automated fraud detection tools, automated algorithmic analysis, or any other electronic automated review tool, system, or service.
(3) "Generative artificial intelligence" means an artificial intelligence technology system that satisfies all of the following:
(a) The system is trained on data.
(b) The system is designed to simulate human conversation with a consumer through text, audio, or visual communication.
(c) The system generates nonscripted outputs similar to outputs created by a human, with limited or no human oversight.
(B) When implementing sections 5162.17 to 5162.19 of the Revised Code, if the department of medicaid uses any automated review tools, all of the following shall occur:
(1) No action shall be taken automatically without human review as a result of the automated review tool's determination or decision.
(2) The appropriate department employee responsible for overseeing the determination or decision shall review the findings of the automated review tool to confirm the tool made the correct determination or decision.
Last updated August 12, 2026 at 4:20 PM
Available Versions of this Section
- October 6, 2026 – Enacted by Senate Bill 315 - 136th General Assembly [ View October 6, 2026 Version ]