MedicaidReimbursementLow impact
5160-28-05.2 - Cost-based clinics: prospective payment system (PPS) method for determining OHF payment. (Rescind/Final File)
Ohio Medicaid·OH·Reimbursement
Effective date
Jul 1, 2022
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid has rescinded Rule 5160-28-05.2 regarding the prospective payment system (PPS) method for determining Other Health Fund (OHF) payments to cost-based clinics. This rule was originally effective October 1, 2016 but was rescinded effective July 1, 2022.
Action Required
No immediate action required. This is a historical rescission that already took effect July 1, 2022. Cost-based clinics in Ohio should verify current OHF payment methodology with Ohio Medicaid if still applicable to their billing practices.