# Ohio Admin. Code 5160-28-12: Rule 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

> Ohio · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5160_28_12

## Section

- **Citation:** Ohio Admin. Code 5160-28-12
- **Heading:** Rule 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
- **Jurisdiction:** Ohio
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Ohio Administrative Code / Agency 5160 / Chapter 5160-28 / Rule 5160-28-12

## Text

119.03 (A) The purpose of this rule is to allow a change to the time period of a cost report from which per-visit payment amounts (PVPAs) are derived. This rule applies to cost report time periods affected by a nationwide federal or Ohio public health emergency (PHE) declaration. (B) This rule applies to a cost report prepared by an individual federally qualified health center (FQHC) or rural health clinic (RHC) site in accordance with this chapter of the Administrative Code for one of the following reasons: (1) The FQHC or RHC is newly enrolled as a medicaid provider; or (2) The FQHC or RHC plans to request the establishment or adjustment of a PVPA based on a change in scope of a prospective payment system (PPS) service. (C) The time period covered by the applicable cost report may be altered in one of the following ways: (1) The length of the period is set at not less than eight consecutive months nor more than twelve consecutive months; or (2) An alternate beginning date of the period is set by the Ohio department of medicaid in collaboration with the FQHC or RHC site. Last updated May 11, 2026 at 10:22 AM Supplemental Information Authorized By: 5164.02 Amplifies: 5162.03 , 5164.02 4/14/2031 Disclaimer Contact About

## Nearby sections

- [Ohio Admin. Code 5160-28-01 Rule 5160-28-01. Federally qualified health center (FQHC) and rural health clinic (RHC) services: definitions and explanations](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5160_28_01.md)
- [Ohio Admin. Code 5160-28-02 Rule 5160-28-02. FQHC and RHC services: conditions affecting medicaid provider participation](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5160_28_02.md)
- [Ohio Admin. Code 5160-28-03 Rule 5160-28-03. FQHC and RHC services: covered services, limitations, and copayments](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5160_28_03.md)
- [Ohio Admin. Code 5160-28-04 Rule 5160-28-04. FQHC and RHC services: submission of a cost report](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5160_28_04.md)
- [Ohio Admin. Code 5160-28-05 Rule 5160-28-05. FQHC and RHC services: prospective payment system (PPS) method for determining payment](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5160_28_05.md)
- [Ohio Admin. Code 5160-28-06.1 Rule 5160-28-06.1. 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](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5160_28_06_1.md)
- [Ohio Admin. Code 5160-28-07.1 Rule 5160-28-07.1. FQHC and RHC services: alternate payment method (APM) for determining payment for government-operated FQHCs](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5160_28_07_1.md)
- [Ohio Admin. Code 5160-28-12 Rule 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](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5160_28_12.md)

---

Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5160_28_12. Check the current official text before relying on it. Not legal advice.