Medicaid School Program (MSP) Proposed Rule Changes (5160-35-02, 05, & 06)

The Ohio Department of Medicaid (ODM) has proposed amendments to OAC Rules 5160-35-02, 5160-35-05, and 5160-35-06 related to the Medicaid School Program (MSP). These updates are intended to expand access to school-based physical and behavioral health services, broaden the scope of eligible providers, and update documentation and reimbursement requirements.

The Ohio Council submitted comments during the public comment period, which was open from May 13 to May 20, 2025. While supportive of efforts to expand access, the comments raised concerns about inconsistencies in oversight, data privacy, and the potential impact on existing provider partnerships. Recommendations focused on aligning documentation and coordination requirements with current Medicaid behavioral health standards, strengthening supervision expectations for school-based practitioners, and clarifying how new services should integrate with existing community-based partnerships.

The Ohio Council will continue to monitor the rulemaking process and provide updates to members as additional information becomes available.