MedicaidAdministrativeHigh impact
5160-28-08.3 - Cost-based clinics: submission and payment of RHC claims. (Rescind/Final File)
Ohio Medicaid·OH · Family Medicine, Internal Medicine, General Practice +1 more·Reimbursement
Effective date
Jul 1, 2022
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has rescinded Rule 5160-28-08.3 regarding Rural Health Clinic (RHC) claims submission and payment procedures for cost-based clinics. This rescission became effective July 1, 2022, removing the previously established guidelines for RHC billing under Ohio Medicaid.
Action Required
Immediately: Billing teams at Rural Health Clinics in Ohio must verify current RHC billing procedures with Ohio Medicaid since the previous guidelines under Rule 5160-28-08.3 have been rescinded. Contact Ohio Department of Medicaid at 614-752-3877 for updated submission requirements. Without current guidance, RHC claims may be processed incorrectly or denied.