Ohio
highOH Schedules AND Rates
Run Date and Time
Jul 15, 2026
15m 0s
Run Metrics
Fee Schedule Impacts
Run summary
This run for Ohio Department of Medicaid Fee Schedule and Rates / OH_SCHEDULES_AND_RATES identified 0 changed documents and 3 newly discovered documents. 3 item(s) are high priority. 3 newly discovered item(s) appear current or upcoming. 53 fetch error(s) occurred.
High Impact (3)
CPT_and_HCPCS_level_II_Procedure_code_changes-_2026-07-01-Final.xlsx
The document outlines changes to CPT/HCPCS procedure codes effective July 1, 2026, including new codes and modifications to payment amounts and coverage status.
Highlights
- •Effective date: July 1, 2026
- •Includes surgery, medicine, radiology, and E&M services
- •Status codes indicate changes in payment amounts and coverage
- •New CPT/HCPCS codes introduced
- •Prior authorization required for some codes
Reason
The document details reimbursement-impacting changes effective soon, including new codes and payment modifications.
Watch items
ProviderAdminDrugTable_-_Final.xlsx
The document outlines updates to the Medicaid fee schedule for vaccines and injectable pharmaceuticals, effective July 1, 2026. It includes changes to coverage and payment rates for specific procedure codes.
Highlights
- •Effective date: July 1, 2026
- •Updates to vaccines and injectable pharmaceuticals
- •Changes in Medicaid maximum payment rates
- •Specific CPT/HCPCS codes affected
Reason
The document includes upcoming changes to reimbursement rates and coverage, effective soon.
Watch items
HospRatesWeb_20260708.xlsx
The document outlines new hospital reimbursement base rates effective July 1, 2026, for inpatient and outpatient services. It includes specific rates for various hospitals and details on Medicare crossover rates.
Highlights
- •Rates effective July 1, 2026, for inpatient and outpatient services.
- •Includes specific rates for hospitals like Adams County Hospital and Access Hospital Dayton LLC.
- •Details on Medicare crossover rates and psych per diem rates.
- •Statewide average rates provided.
Reason
The document contains new reimbursement rates effective soon, impacting hospital billing and policy.
Watch items
Medium Impact (0)
No documents in this severity group.
Low Impact (0)
No documents in this severity group.