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Jasper, OH · Health

The National Law Review

partner publisher · 20.1K followers

Client Alert: Proposed Changes to Behavioral Health Service Rules: Key Changes for Ohio Providers to Review

The Ohio Department of Behavioral Health (DBH) recently proposed numerous changes to Ohio Administrative Code (OAC) Chapter 5122-29, which governs the behavioral health services that DBH-certified providers may provide. The proposed rule changes would rescind and replace several existing rules, amend others, and create a new service category and rule for adult crisis services. The existing rules summarized below (OAC 5122-29-03 through 5122-29-29) are currently under Common Sense Initiative (CSI) review and may be subject to additional changes. The new adult crisis services rule (OAC 5122-29-32) is scheduled for a public hearing on November 16, 2026. The table below does not provide a comprehensive summary of every proposed rule change in OAC Chapter 5122-29. Proposed rules that only had stylistic changes, not substantive changes, were not summarized. Additionally, proposed rules for certain certified services, including forensic evaluation, driver intervention programs, intensive home-based treatment, among others, were not summarized for purposes of this Client Alert. A summary of the proposed rules is below. Rule Number Tagline Type of Filing Summary of Content and Proposed Changes OAC 5122-29-03 General services Rescind in full and replace with new rule • Defines “general services” as assessment, medical, and counseling and therapy activities. • Requires

Ohio · 20d

The National Law Review

partner publisher · 20.1K followers

Ohio Department of Medicaid Proposes New Provider Suspension Rules as Centers for Medicare & Medicaid Services Escalates Its Anti-Fraud Push

Amidst heightened federal scrutiny of Medicaid fraud, waste, and abuse, the Ohio Department of Medicaid (ODM) recently proposed two new rules governing the suspension of Medicaid provider agreements and the suspension of claims payments. Ohio Administrative Code (OAC) 5160-1-17.5 replaces the current suspension rule, and OAC 5160-1-17.51 replaces the emergency rule ODM adopted on June 2, 2026. Federal Context: Centers for Medicare & Medicaid Services (CMS) Targets a Sharp Rise in Suspensions Federal regulators have made provider fraud a top enforcement priority, deploying new authorities, technologies, and coordination tools designed to stop improper payments before they are made. CMS seeks to quadruple provider suspensions within six months as part of CMS' overall crackdown on fraud. To that end, CMS has undertaken several measures that suggest providers face growing exposure: New exclusion authority . The Department of Health and Human Services (HHS) delegated permissive exclusion authority under Section 1128(b) of the Social Security Act to CMS, effective October 14, 2026. CMS may now exclude providers from Medicare, Medicaid, TRICARE, and other federal health care programs when a basis for exclusion exists, such as a provider's violation of the False Claims Act. Artificial Intelligence (AI)-driven, pre-payment detection . CMS is piloting AI

Ohio · 20d

WCPO 9 Cincinnati

partner publisher · 73.2K followers

'The Ohio EPA is not protecting people' | Judge calls pollution amendment unconstitutional

Ohio · 19d

Dayton Daily Mag

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Ohio Governor Mike DeWine announces $92 million in funding to improve healthcare services across rural communities

Sandusky, Ohio – Ohio Governor Mike DeWine and Dr. Mehmet Oz, administrator of the U.S. Centers for Medicare and Medicaid Services (CMS), have announced $92 million in Rural Health Transformation Program funding to improve healthcare services in rural communities throughout Ohio. The investments will support hospitals, strengthen cooperation between...

Ohio · 22d

NBC4 Columbus

partner publisher · 98.0K followers

Experts speak on flu season in Ohio, urge vaccination

As the weather gets colder, Ohio is seeing an increase in flu activity. According to Cleveland clinic, reported influenza A test positivity in October has increased by 3.7% so far, similar to other patterns across the country.

Ohio · 19d

dayton247now.com

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Ohio to add Medicaid work requirements Jan. 1, potentially affecting coverage

MIAMI VALLEY, Ohio (WKEF) - Working, volunteering or going to school will soon determine whether some Ohioans keep their Medicaid coverage, as new work requirements are expected to take effect Jan. 1. The Ohio Department of Medicaid says nearly 40,000 Montgomery County residents were enrolled in Medicaid expansion in August,...

Ohio · 22d

hoodline.com

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Lewis Center Doctor Admits to $1.6M Medicaid Fraud Tied to 27,000 Fake Claims

Embody Wellness Obstetrics and Gynecology — Approximate Site of Alleged Billing Scheme. A Delaware County physician admitted in Franklin County court this week to running a telehealth billing scheme that siphoned more than $1.6 million from Ohio Medicaid over five years, filing more than 27,000 claims for visits that records show never happened. Dr. Patrick Muffley, 56, of Lewis Center, pleaded guilty Monday to felony theft and Medicaid fraud charges, while his clinic associate, 61-year-old Lisa Fillhart of Lima, admitted the same day to Medicaid fraud and practicing nursing without a license.

Lewis Center, OH · 20d

Cleveland Scene

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Lake Erie Watchdog Group Urges Governments to Regulate How Data Centers Dispose of Water

When John Lipaj toured NEO-01, a newly-built hyperscale data center a bit outside of Sandusky, in September, he came prepared with a list of questions for the facility’s owner, Aligned. The data center watchdog at the Lake Erie Foundation, Lipaj tailored his inquiries to Aligned’s staff under one specific...

Sandusky, OH · 19d

13 Action News

publisher · 41.7K followers

State will spend nearly $3 million to replace NW Ohio psychiatric hospital

Ohio · 21d

Main Street Dollars

partner publisher · 38.4K followers

Cleveland Clinic’s Ohio hospitals and doctors leave Anthem’s Medicare Advantage and employer-plan networks on January 1, 2027 if no new contract is reached

Cleveland Clinic’s Ohio hospitals and doctors will no longer be in network for certain Anthem Blue Cross and Blue Shield members starting January 1, 2027, if the two sides do not reach a new contract. The warning covers Anthem’s Medicare Advantage plans and its employer-sponsored plans. Nothing has changed yet. On its accepted-insurance page, Cleveland […]

Ohio · 24d

The Money Overview

partner publisher · 74.7K followers

Ohio Medicaid expansion adults 19 to 64 must show 80 hours of work or activities, or qualifying income, monthly from January 1, 2027, and renew every six months

About 774,000 Ohioans are enrolled in Medicaid as working-age expansion adults, and the Ohio Department of Medicaid expects roughly 62,000 of them to lose eligibility during the state’s 2026-27 budget period as the new work rule takes hold. Beginning January 1, 2027, adults 19 to 64 in that group must show 80 hours a month […] The post Ohio Medicaid expansion adults 19 to 64 must show 80 hours of work or activities, or qualifying income, monthly from January 1, 2027, and renew every six months appeared first on The Money Overview .

Ohio · 23d

Cleveland.com

publisher · 139.8K followers

Northeast Ohio's respiratory therapists are saving lives — and most of us don't even know their names

Please join me this month in thanking these dedicated clinicians for their unwavering commitment to our community’s health. They truly look after every breath and every moment, writes Denise Lauderbaugh, of Cleveland, a Registered Respiratory Therapist, in a letter to the editor.

Cleveland, OH · 22d

13abc.com

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State will spend nearly $3 million to replace NW Ohio psychiatric hospital

State officials have approved funding to replace the facility for Northwest Ohio Behavioral Healthcare, the region’s psychiatric hospital.

Ohio · 21d

highlandcountypress.com

website

Ohio physicians, health care leaders urge parents to get their kids vaccinated, ask their doctors questions

Pediatricians and health care leaders from across Ohio Oct. 15 reminded parents that their offices are open and they’re eager to answer questions, as they urged residents to get vaccinated before the coming holiday season. The latest numbers from the Ohio Department of Health show immunization rates falling and...

Ohio · 21d

hoodline.com

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Hilliard Addiction Treatment Center Opens as Franklin County Overdose Deaths Keep Falling

Franklin County Crisis Care Center — Reported First-Year Service Demand. Foundations Group Recovery Centers Ohio has opened a new addiction and mental health treatment facility at 3499 Main Street in Hilliard, relocating from its former Upper Arlington location and expanding its footprint across the western Columbus suburbs. The facility opened its doors on Monday, October 19, with capacity to serve up to 150 clients and room for group programming, individual therapy, and medication management.

Franklin County, OH · 24d

spectrumnews1.com

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DeWine announces $92M healthcare expansion in rural Ohio

OHIO — Ohio Gov. Mike DeWine announced the Rural Health Transformation Program, which totals $92 million, to provide better healthcare in rural areas of Ohio. Chronic illness, preventive, primary, maternal and behavioral healthcare are all expected to undergo expansions. “These investments will transform healthcare in rural Ohio,” said Gov....

Ohio · 22d

businessdailynetwork.com

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OhioHealth Dublin Methodist Hospital receives ANCC Pathway to Excellence designation

OhioHealth Dublin Methodist Hospital has earned the American Nurses Credentialing Center Pathway to Excellence designation, recognizing its nursing practice environment and commitment to supporting nurses, according to an Oct. 16 announcement. Cherie Smith, president of OhioHealth Grady Memorial Hospital and OhioHealth Dublin Methodist Hospital, said, “Earning the ANCC Pathway to...

Dublin, OH · 24d

wadsworthcommunityradio.com

website

Cleveland Clinic first in Ohio to perform rare abdominal tumor surgery

Cleveland Clinic says it has become the first health system in Ohio to perform a highly specialized surgery for complex abdominal tumors that involves temporarily removing and then re-implanting a patient’s small intestine. The procedure, called ex vivo intestinal auto-transplantation, is performed at only a small number of centers...

Ohio · 23d

moneycrashers.com

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HealthSpring Medicare Supplement Review – Low Premiums, but More Complaints Than Average

Best for: Price-first Plan G and N shoppers, especially in Ohio and Texas. What Sets It Apart: Women’s Plan G below the median price in Dallas, Columbus, and Phoenix; 5% online discount in some states; Cigna’s former Medigap line, now owned by HCSC. Cost: Plan G at 65...

Texas · 24d

toledolegalnews.com

website

Long-term care residents honored during Residents’ Rights Month

The Ohio Department of Aging (AGE) and the Office of the State Long-Term Care Ombudsman are honoring long-term care residents by celebrating Residents' Rights Month. Each October, Residents' Rights Month recognizes and reaffirms Ohio's commitment to ensuring all residents live with dignity, free from neglect and abuse. Selected by the National Consumer Voice for Quality Long-Term Care (Consumer Voice), this year's Residents' Rights Month theme, Join Us at the Table, highlights the central role that food, mealtime, and community play in residents’ daily lives.

Ohio · 22d

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