Ohio Administrative Code
Title 5160 - Ohio Department of Medicaid
Chapter 5160-1 - General Provisions
Section 5160-1-10 - Limitations on elective obstetric deliveries
Universal Citation: OH Admin Code 5160-1-10
Current through all regulations passed and filed through September 16, 2024
(A) Payment for any cesarean section, labor induction, or any delivery following labor induction is subject to the following criteria:
(1)
Gestational age of the fetus must be determined to be
at least thirty-nine weeks;
or
(2)
If a delivery
occurs prior to thirty-nine weeks gestation, maternal and/or fetal conditions
must indicate medical necessity for the delivery.
(B) Cesarean sections, labor inductions, or any deliveries following labor induction that occur prior to thirty-nine weeks gestation that are not considered medically necessary are not eligible for payment.
Disclaimer: These regulations may not be the most recent version. Ohio may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
