Ohio Medicaid Telehealth Rules Made Permanent

Breanne M. Rubin

woman on smart phone   On November 5, 2020, rules related to the provision of telehealth services temporarily issued as a response to the COVID-19 (a.k.a. coronavirus) pandemic became permanent. Governor Mike DeWine and the Ohio Department of Medicaid (ODM) initially had expanded telehealth access in March by providing flexibility in patient-provider interactions, broadening the network of providers that can bill Medicaid for telehealth services and expanding eligible telehealth services. ODM announced in September that the agency filed proposed rules to make the telehealth changes permanent. At that time, there had been approximately 2.6 million claims for telehealth services from Ohio Medicaid members since the telehealth coverage expansion in March, about half of which were for behavioral health services. Before the pandemic, ODM provider telehealth claims averaged less than 1,000 claims per month for physical health services and 4,000 claims per month for mental health and addiction services.

  The rule was approved by the Joint Committee on Agency Rule Review (JCARR) and makes the following changes to Ohio Administrative Code 5160-1-18:

   Maureen Corcoran, director at ODM, has said “this permanent expansion of clinically appropriate telehealth services allows us to increase access to quality care while maintaining the fiscal sustainability and integrity of Ohio’s Medicaid program.” The final rule can be found on the Register of Ohio.

   Should you have any questions concerning the new telehealth rules, please contact Ms. Rubin 

   Anna L. Schroeder, a law clerk with Eastman & Smith who received her law degree from The Ohio State University Moritz College of Law and is awaiting bar exam results, contributed to this article. 



At the date of publication the above information was correct.  It is quite possible the information above has changed as COVID-19 is a rapidly evolving situation. 

The article in this publication has been prepared by Eastman & Smith Ltd. for informational purposes only and should not be considered legal advice. This information is not intended to create, and receipt of it does not constitute, an attorney/client relationship.