MedicaidAdministrativeLow impact
5160-1-72 - Relocated provisions concerning patient centered medical homes (PCMH) and payments. (New/Final File)
Ohio Medicaid·OH · Family Medicine, Internal Medicine, General Practice +1 more·Medical Policy
Effective date
Oct 17, 2020
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid has relocated and reorganized administrative provisions concerning Patient Centered Medical Home (PCMH) payments under rule 5160-1-72. This appears to be a structural reorganization of existing payment rules rather than changes to actual payment rates or billing requirements.
Action Required
No immediate action required for billing teams. This is an administrative reorganization of existing PCMH payment provisions. Ohio Medicaid providers participating in PCMH programs should review updated rule structure for reference but no billing process changes are indicated.