Ohio § 5164.46 Electronic claims submission process; electronic fund transfers

Ohio Statutes

§ 5164.46 — Electronic claims submission process; electronic fund transfers

Ohio § 5164.46

Title 51Public Welfare

Ch. 5164Medicaid State Plan Services

This text of Ohio § 5164.46 (Electronic claims submission process; electronic fund transfers) is published on Counsel Stack Legal Research, covering Ohio primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Ohio Rev. Code Ann. § 5164.46 (2026).

Text

(A)As used in this section, "electronic claims submission process" means any of the following:

(1)Electronic interchange of data;

(2)Direct entry of data through an internet-based mechanism implemented by the department of medicaid;

(3)Any other process for the electronic submission of claims that is specified in rules adopted under section5162.02of the Revised Code.

(B)Not later than January 1, 2013, and except as provided in division (C) of this section, each medicaid provider shall do both of the following:

(1)Use only an electronic claims submission process to submit to the department of medicaid claims for medicaid payment for medicaid services provided to medicaid recipients;

(2)Arrange to receive medicaid payment from the department by means of electronic funds

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(A) As used in this section, "electronic claims submission process" means any of the following:

(1) Electronic interchange of data;

(2) Direct entry of data through an internet-based mechanism implemented by the department of medicaid;

(3) Any other process for the electronic submission of claims that is specified in rules adopted under section5162.02of the Revised Code.

(B) Not later than January 1, 2013, and except as provided in division (C) of this section, each medicaid provider shall do both of the following:

(1) Use only an electronic claims submission process to submit to the department of medicaid claims for medicaid payment for medicaid services provided to medicaid recipients;

(2) Arrange to receive medicaid payment from the department by means of electronic funds transfer.

(C) Division (B) of this section does not apply to any of the following:

(1) A nursing facility;

(2) An ICF/IID;

(3) A medicaid managed care organization;

(4) Any other medicaid provider or type of medicaid provider designated in rules adopted under section5162.02of the Revised Code.

(D) The department shall not process a medicaid claim submitted on or after January 1, 2013, unless the claim is submitted through an electronic claims submission process in accordance with this section.