MedicaidAdministrativeLow impact
5160-28-09 - Federally qualified health centers (FQHCs): prospective payment system (PPS) rate review for change in scope of service. (Rescind/Final File)
Ohio Medicaid·OH · Family Medicine, Internal Medicine, General Practice·Reimbursement
Effective date
Oct 1, 2016
We identified it
Jun 20, 2026
Summary
Ohio rescinded rule 5160-28-09 regarding FQHC prospective payment system rate reviews for scope of service changes, effective October 1, 2016. This rule elimination removes specific regulatory requirements for FQHCs when requesting rate adjustments due to service expansions or modifications.
Action Required
No immediate action required for most practices. This is a rescinded Ohio Medicaid rule from 2016 that only affected Federally Qualified Health Centers (FQHCs) requesting rate reviews for scope changes. Non-FQHC practices are not impacted by this historical regulatory change.