MedicaidAdministrativeMedium impact
5160-19-01 - Comprehensive primary care (CPC) program: eligible providers. (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 5160-19-01 regarding eligible providers for the Comprehensive Primary Care (CPC) program, effective January 1, 2026. This rule amendment defines which healthcare providers can participate in Ohio's CPC program and receive associated reimbursements.
Action Required
By January 1, 2026: Primary care providers interested in participating in Ohio Medicaid's CPC program should review updated eligibility requirements and ensure compliance with new provider qualifications. Contact Ohio Department of Medicaid at 614-752-3877 for specific enrollment criteria and application processes.