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The Legislative Service Commission staff updates the Revised Code on an ongoing basis, as it completes its act review of enacted legislation. Updates may be slower during some times of the year, depending on the volume of enacted legislation.

Section 5164.332

Ohio Revised Code
/
Title 51 Public Welfare
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Chapter 5164 Medicaid State Plan Services
 
Section 5164.332 is not yet in effect. It takes effect October 6, 2026.
Effective:
October 6, 2026
Latest Legislation:
Senate Bill 315 - 136th General Assembly
PDF:
Download Authenticated PDF
 

(A) The department of medicaid shall impose a temporary suspension of medicaid payments and conduct an investigation if the department determines there is a suspicious increase in the number of claims for payment submitted by a provider in the first sixty days of the provider entering into a provider agreement with the department.

(B) The department shall flag and investigate any time the department determines that the number of claims for payment submitted by a provider in a month increases by more than one hundred per cent without a corresponding increase in the number of medicaid enrollees receiving services from the provider.

Last updated August 12, 2026 at 4:29 PM

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