MedicaidReimbursementMedium impact
5160-19-02 - Comprehensive primary care (CPC) program: payments. (Amend/Final File)
Ohio Medicaid·OH · Family Medicine, Internal Medicine, General Practice +1 more·Medical Policy
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has updated Rule 5160-19-02 for Comprehensive Primary Care (CPC) program payments, effective January 1, 2026. This is the most recent amendment in a series of frequent updates to CPC payment structures for Ohio Medicaid providers.
Action Required
Before January 1, 2026: Ohio providers participating in the CPC program must review the updated payment rule 5160-19-02 for any changes to reimbursement rates or payment methodology. Contact Ohio Department of Medicaid at 614-752-3877 for specific guidance on implementation requirements.