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Ohio · Through 2026-10-06 (Senate Bill 315 - 136th General Assembly)

Ohio Rev. Code § 5164.332

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Where this section sits in the code
  1. Title 51 Public Welfare
  2. Chapter 5164 Medicaid State Plan Services

(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.

Collected 2026-09-14T19:24:40Z. Source file · JSON

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