MedicaidAdministrativeMedium impact
5160-28-03.1 - Cost-based clinics: FQHC services, co-payments, and limitations. (Rescind/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Ohio Department of Medicaid has rescinded rule 5160-28-03.1 regarding cost-based clinics, FQHC services, co-payments, and limitations. This rule that governed Federally Qualified Health Centers (FQHC) billing and co-payment requirements under Ohio Medicaid was officially rescinded effective July 1, 2022.
Action Required
For Ohio Medicaid FQHC billing: Verify current billing procedures and co-payment collection policies are aligned with updated Ohio Medicaid guidelines since the previous rule 5160-28-03.1 was rescinded. Contact Ohio Department of Medicaid at 614-752-3877 or review current active rules to confirm proper FQHC billing protocols for Ohio Medicaid patients.