MedicaidAdministrativeLow impact
5160-1-71 - Relocated provisions concerning patient centered medical homes (PCMH) and eligible providers. (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 administrative provisions concerning Patient-Centered Medical Homes (PCMH) and eligible providers under rule 5160-1-71. This appears to be an organizational restructuring of existing regulations rather than substantive policy changes affecting billing practices.
Action Required
No immediate action required for billing teams. This is an administrative relocation of existing PCMH provider eligibility rules within Ohio Medicaid regulations. Monitor for any follow-up communications from Ohio Medicaid regarding substantive changes to PCMH billing requirements.