Ohio Senate Bill 315 Expands Medicaid Program Integrity Oversight Effective October 6
Ohio Senate Bill 315 takes effect October 6, 2026, bringing significant expansions to program integrity requirements, enforcement authority, and oversight mechanisms across Ohio's Medicaid program. The legislation affects providers, managed care organizations, and the state Medicaid agency with new compliance obligations and enforcement tools. The law represents a substantial shift in Ohio's approach to fraud prevention and program integrity enforcement. Medicaid stakeholders operating in Ohio face new compliance requirements and heightened scrutiny under the expanded authority.
Ohio Medicaid providers and MCOs must implement new compliance protocols before the October 6 effective date to meet expanded program integrity requirements and avoid enforcement exposure under strengthened state authority.
Managed Care · Finance
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