MedicaidAdministrativeMedium impact
5160-28-04 - FQHC and RHC services: submission of a cost report. (New/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 Department of Medicaid has established Rule 5160-28-04 requiring Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) to submit cost reports for Medicaid reimbursement purposes. This rule became effective July 1, 2022, and replaces previous FQHC billing service rules that were rescinded in 2016.
Action Required
FQHC and RHC providers in Ohio: Ensure compliance with cost report submission requirements per Rule 5160-28-04 for Ohio Medicaid reimbursement. Contact Ohio Department of Medicaid Division (Tommi Potter, 614-752-3877) for specific cost report forms and submission deadlines if not already established.