MedicaidAdministrativeMedium impact
5160-28-01 - Federally qualified health center (FQHC) and rural health clinic (RHC) services: definitions and explanations. (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 Medicaid has updated policy 5160-28-01 to expand definitions and explanations for Federally Qualified Health Centers (FQHC) and Rural Health Clinics (RHC) services, replacing the previous 'Cost-based clinics' policy. This policy change affects how these facility types are defined and their service parameters under Ohio Medicaid.
Action Required
Immediately: Billing teams at FQHCs and RHCs in Ohio should review the updated policy definitions and explanations to ensure compliance with current Ohio Medicaid requirements. Contact Ohio Department of Medicaid at 614-752-3877 if clarification is needed on how the updated definitions affect your facility's billing practices.