MedicaidAdministrativeMedium impact
5160-11-04 - Laboratory: exceptions for FQHCs, RHCs, OHFs, and hospital outpatients. (Rescind/Final File)
Ohio Medicaid·OH·Medical Policy
Effective date
Apr 1, 2016
We identified it
Jun 20, 2026
Summary
Ohio Medicaid Rule 5160-11-04 regarding laboratory exceptions for FQHCs, RHCs, OHFs, and hospital outpatients has been rescinded and is no longer in effect. This rescission removes previously established laboratory billing exceptions for these specific provider types.
Action Required
Review current laboratory billing practices for FQHC, RHC, OHF, and hospital outpatient settings to ensure compliance with standard Ohio Medicaid laboratory policies since the exceptions are no longer valid. Verify that billing systems are not applying outdated exception rules for these provider types.