5160-11-05 Laboratory specimens sent to the Ohio department of health (ODH) state laboratories.

 

 

 

TO BE RESCINDED

 

5160-11-05                  Laboratory specimens sent to the Ohio department of health (ODH) state laboratories.

 

 

 

(A)     Providers  may  not  bill  the  department  for  procedures  performed  by  the  Ohio department of health (ODH) state laboratory.

 

(B)    All  Ohio  medicaid  providers  who  wish  to  utilize  the  ODH  state  laboratory  for laboratory tests performed for medicaid consumers must:

 

(1)   Complete the top portion of the CMS 1500 claim form (rev. September 2003), for each consumer (i.e., consumer information only).

 

(2)   Include the CMS 1500 claim form along with all other attachments required by ODH in the package with the specimen and submit to ODH.

 

(3)    Not attach the prepaid stamp that ODH normally requires before the test is performed.

 

(C)   The ODH state laboratory will complete the CMS 1500 claim form and submit the claim for payment.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5160-11-05         Effective:	TO BE RESCINDED         04/01/2016	2
Five Year Review (FYR) Dates:	11/19/2015
CERTIFIED ELECTRONICALLY
Certification
02/29/2016
Date
Promulgated Under:	119.03
Statutory Authority:	5164.02
Rule Amplifies:	5162.03, 5164.02
Prior Effective Dates:	02/17/1991, 08/01/2001, 05/25/2006