MedicaidAdministrativeMedium impact
5160-28-02 - FQHC and RHC services: conditions affecting medicaid provider participation. (New/Final File)
Ohio Medicaid·OH · Family Medicine, Internal Medicine, General Practice +1 more·Medical Policy
Effective date
Jul 1, 2022
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid has updated Rule 5160-28-02 regarding conditions affecting Medicaid provider participation for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs). This rule replaced the previous 'Cost-based clinics' requirements and became effective July 1, 2022.
Action Required
Ohio FQHC and RHC providers should review the updated Rule 5160-28-02 to ensure compliance with current Medicaid provider participation conditions. Verify that billing and administrative processes align with the new requirements that replaced the previous cost-based clinic limitations.