{"data":{"id":"us-oh/ohio-rev.-code-5164.332","jurisdiction":"us-oh","citation":"Ohio Rev. Code § 5164.332","heading":"","body":"(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.\n(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.","path":["Title 51 Public Welfare","Chapter 5164 Medicaid State Plan Services"],"source_url":"https://codes.ohio.gov/ohio-revised-code/section-5164.332","current_through":"2026-10-06 (Senate Bill 315 - 136th General Assembly)","vintage":"","retrieved_at":"2026-09-14T19:24:40Z","sha256":"518829ad00854696005102e402dc4fa7cd6915f5a0433af05b2ea0cb005e2114","source_id":"us-oh","stale":false,"prev":"us-oh/ohio-rev.-code-5164.331","next":"us-oh/ohio-rev.-code-5164.34"},"notice":"GroundRules: Original legal text. Not legal advice."}