MedicaidReimbursementLow impact
5160-28-07.1 - FQHC and RHC services: alternate payment method (APM) for determining payment for government-operated FQHCs. (Amend/Final File)
Ohio Medicaid·OH · Family Medicine, Internal Medicine, General Practice +1 more·Reimbursement
Effective date
Jul 1, 2024
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid amended Rule 5160-28-07.1 regarding alternate payment methods (APM) for determining payment rates for government-operated Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs). This policy specifically affects Medicaid reimbursement calculations for these facility types in Ohio.
Action Required
Government-operated FQHCs and RHCs in Ohio should review their Medicaid reimbursement methodology to ensure compliance with the updated alternate payment method calculations. Contact the Ohio Department of Medicaid at 614-752-3877 if questions arise about payment determinations under this amended rule.