Chapter 5160-28 - Cost-Based Clinic (FQHC, OHF, RHC) Services
- Section 5160-28-01 - Federally qualified health center (FQHC) and rural health clinic (RHC) services: definitions and explanations
- Section 5160-28-02 - FQHC and RHC services: conditions affecting medicaid provider participation
- Section 5160-28-03 - FQHC and RHC services: covered services, limitations, and copayments
- Section 5160-28-03.1 - [Rescinded] Cost-based clinics: FQHC services, co-payments, and limitations
- Section 5160-28-03.2 - [Rescinded] Cost-based clinics: OHF services, co-payments, and limitations
- Section 5160-28-03.3 - [Rescinded] Cost-based clinics: RHC services, co-payments, and limitations
- Section 5160-28-04 - FQHC and RHC services: submission of a cost report
- Section 5160-28-04.1 - [Rescinded] Cost-based clinics: submission of an FQHC cost report
- Section 5160-28-04.2 - [Rescinded] Cost-based clinics: submission of an OHF cost report
- Section 5160-28-04.3 - [Rescinded] Cost-based clinics: submission of an RHC cost report
- Section 5160-28-05 - [Effective until 7/1/2024] FQHC and RHC services: prospective payment system (PPS) method for determining payment
- Section 5160-28-05 - [Effective 7/1/2024] Federally qualified health center (FQHC) and rural health clinic (RHC) services: prospective payment system (PPS) method for determining payment
- Section 5160-28-05.1 - [Rescinded] Cost-based clinics: prospective payment system (PPS) method for determining FQHC payment
- Section 5160-28-05.2 - [Rescinded] Cost-based clinics: prospective payment system (PPS) method for determining OHF payment
- Section 5160-28-05.3 - [Rescinded] Cost-based clinics: prospective payment system (PPS) method for determining RHC payment
- Section 5160-28-06.1 - [Effective until 7/1/2024] FQHC and RHC services: limits on a per-visit payment amount (PVPA) determined on the basis of a cost report for an FQHC PPS service
- Section 5160-28-06.1 - [Effective 7/1/2024] Federally qualified health center (FQHC) and rural health clinic (RHC) services: constraints on a per-visit payment amount (PVPA) for an FQHC perspective payment system (PPS) service
- Section 5160-28-06.2 - [Rescinded] Cost-based clinics: determination of a PVPA for an OHF service on the basis of a medicaid cost report
- Section 5160-28-07 - [Rescinded] Federally qualified health centers (FQHCs): supplemental payments
- Section 5160-28-07.1 - [Effective until 7/1/2024] FQHC and RHC services: alternate payment method (APM) for determining payment for government-operated FQHCs
- Section 5160-28-07.1 - [Effective 7/1/2024] Federally qualified health center (FQHC) and rural health clinic (RHC) services: alternate payment method (APM) for determining additional payment for government-operated FQHCs
- Section 5160-28-08 - [Rescinded] Federally qualified health centers (FQHCs): general provisions of the prospective payment system (PPS)
- Section 5160-28-08.1 - [Rescinded] Cost-based clinics: submission and payment of FQHC claims
- Section 5160-28-08.3 - [Rescinded] Cost-based clinics: submission and payment of RHC claims
- Section 5160-28-09 - [Rescinded] Federally qualified health centers (FQHCs): prospective payment system (PPS) rate review for change in scope of service
- Section 5160-28-10 - [Rescinded] Federally qualified health centers (FQHCs): prospective payment system cost report
- Section 5160-28-11 - [Rescinded] Federally qualified health centers (FQHCs): billing for FQHC services
- Section 5160-28-12 - Establishment of a per-visit payment amount (PVPA) derived from a cost report submitted by a federally qualified health center (FQHC) or rural health clinic (RHC) site affected by a public health emergency (PHE) declaration
- Section 5160-28-13 - [Rescinded] Outpatient health facility (OHF) services