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Ohio Medicaid

Administrative Policies

Administrative policies offer guidance on determination of medical necessity, investigation and experimental services.

The policies below are in PDF format. If you do not have Adobe Acrobat Reader, you may download it here.

Current Administrative Policies

PolicyEffective Date
All Patient Refined Diagnosis Related Groups (APR-DRG)10/27/2016
Clinical Trials
Experimental or Investigational Technologies
Medical Necessity Determination
Medical Necessity – Non Formulary Medications
Medical Necessity – Off Label, Approved Orphan and Compassionate Use Drugs

Archived Administrative Policies