MedicaidAdministrativeHigh impact
5160-13-01 - Clinic services. (New/Final File)
Ohio Medicaid·OH·Medical Policy
Effective date
Apr 10, 2023
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has updated rule 5160-13-01 for clinic services, replacing the previous 'Service-based ambulatory health care clinics' provisions with new 'Clinic services' regulations. This is a comprehensive policy restructure that affects how ambulatory health care clinics operate under Ohio Medicaid.
Action Required
Immediately: Review the new Ohio Medicaid clinic services rule 5160-13-01 to understand updated requirements for ambulatory health care clinic operations. Contact Ohio Department of Medicaid at 614-752-3877 for specific implementation guidance. Ensure clinic operations comply with new service-based provisions that replaced previous fee-for-service structure.