5160-7-01 Eligible providers of podiatric services.

 

 

 

PUBLIC HEARING NOTICE OHIO DEPARTMENT OF MEDICAID

 

 

DATE:   October 11, 2016

TIME:   11:00 a.m.

LOCATION:   Room A401, Lazarus Government Center

50 West Town Street, Columbus, OH 43215

 

Pursuant to section 5164.02 and Chapter 119. of the Ohio Revised Code, the director of the Ohio Department of Medicaid gives notice of the Department's intent to consider the amendment, rescission, or adoption of the rules identified below and to hold a public hearing on these rules. The public hearing will be held at the date, time, and location listed at the top of this notice.

Both written and oral testimony will be accepted at the public hearing, and written comments submitted or postmarked no later than the date of the public hearing will be treated as testimony.

 

Medicaid rules 5160-7-01, 5160-7-02, 5160-7-03 and 5160-7-04 are being filed in accordance with mandatory five year rule review.

 

Rule 5160-7-01, "Eligible providers of podiatric services," provides guidance in regards to provider types authorized to bill for podiatric medicine services reimbursed by the Ohio Medicaid program. This rule is amended to comply with mandatory five year rule review. A change was made to update the department's name.

 

Rule 5160-7-02, "Podiatric medicine: scope of coverage," details acceptable podiatric medicine services that are authorized to be performed and billed to the Ohio Medicaid program by podiatry physicians. This rule is amended to comply with mandatory five-year rule review.

Changes include updating rule language and OAC references.

 

Rule 5160- 7-03, "Covered podiatric services and associated limitations," defines specific podiatric medicine services that are eligible for reimbursement by the Ohio Medicaid program. This rule is amended to comply with mandatory five-year rule review. Changes include payment for additional evaluation and management services when provided by a podiatrist and updating rule language and OAC references.

 

This rule adds new additional evaluation and management services payable when provided by a podiatrist. These services are procedure codes which require medical decision making of moderate complexity: 99204, 99214, 99343, 99344 and 99349.

 

Rule 5160-7-04, "Podiatric Medicine: non-covered services," details examinations and procedures that are not covered by the Ohio Medicaid program. This rule is amended to comply with mandatory five-year rule review. Changes include updating rule language and OAC references.

 

 

 

 

 

 

 

 

Any person affected by these rules may examine them and obtain a copy, without charge, at the following locations:

Ohio Department of Medicaid, 50 West Town Street, Suite 400, Columbus, Ohio 43215; Any county department of job and family services; or

On the internet at http://www.registerofohio.state.oh.us/.

Testimony on the proposed rules may also be reviewed at the Ohio Department of Medicaid, 50 West Town Street, Suite 400, Columbus, Ohio 43215.

Requests for a copy of the proposed rules or a copy of testimony on the rules should be submitted in any of the following ways:

By mail to the Rule Administrator, Office of Chief Legal Counsel, Ohio Department of Medicaid, 50 West Town Street, Suite 400, Columbus, OH 43215;

By fax to [phone]; or

By e-mail to [e-mail].