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ACTION: OriginalDATE: 07/15/2016 3:13 PMRule Summary and Fiscal Analysis (Part A) Ohio Department of Medicaid Agency NameJenelle DonovanLyle DivisionContact50 West Town St Columbus OH 432150000(614)
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What is 5160-1-72 new?
The 5160-1-72 new is a form used by healthcare providers to report specific information related to Medicaid services in Ohio.
Who is required to file 5160-1-72 new?
Healthcare providers who deliver services to Medicaid beneficiaries in Ohio are required to file the 5160-1-72 new.
How to fill out 5160-1-72 new?
To fill out the 5160-1-72 new, providers must complete all required fields accurately, ensuring that all information aligns with the services rendered to Medicaid patients.
What is the purpose of 5160-1-72 new?
The purpose of the 5160-1-72 new is to collect and report data that helps in the oversight and management of Medicaid services offered in Ohio.
What information must be reported on 5160-1-72 new?
Providers must report information such as patient demographics, service types, dates of service, and billing details on the 5160-1-72 new.
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