Review cadence
- Source date
- 2026-07-16
- Claim review
- 2026-07-16 · 25/25
- Proven sweep
- 2026-07-15
- Target
- T1 · weekly
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Ohio has 61 community health centers across 616 sites serving 1,011,546 patients — the #5 FQHC state by patients in the national-breadth layer. As an expansion state, Medicaid anchors the safety net, and H.R. 1 work requirements plus the December 2026 funding cliff are the key risks.
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We keep source date, claim review, and a completed source sweep separate. None of these clocks substitutes for another.
73,803 reported patients
Actual values: 12/12 · source-backed: 9/12
Visible gaps: EHR, reported financials, NPPES operator identity.
Hash-pinned review: 2026-07-19 · next 2026-09-02
This public log starts July 14, 2026. Zero logged changes does not mean a page or claim never changed before that date.
2026-07-16 · addition
New tracked OH development added to the state intelligence feed.
2026-07-16 · addition
New tracked OH development added to the state intelligence feed.
2026-07-16 · addition
New tracked OH development added to the state intelligence feed.
2026-07-16 · addition
New tracked OH development added to the state intelligence feed.
2026-07-16 · addition
New tracked OH development added to the state intelligence feed.
2026-07-16 · addition
New tracked OH development added to the state intelligence feed.
2026-07-16 · addition
New tracked OH development added to the state intelligence feed.
2026-07-15 · material correction
Corrected this OH record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this OH record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this OH record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this OH record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this OH record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this OH record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this OH record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this OH record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this OH record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this OH record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this OH record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this OH record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this OH record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this OH record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this OH record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this OH record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this OH record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this OH record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
Send a correction or new source to improve this state page.
Ohio's near-term safety-net agenda is defined by three verified tracks. CMS's June 2026 interim final rule generally requires Medicaid community engagement no later than January 1, 2027, and Ohio reported plans for a one-month activity lookback plus four optional hardship exceptions. Ohio University is leading a $10 million rural workforce award with The Health Collaborative and the Ohio Association of Community Health Centers, while the state's broader $202.03 million rural-transformation award covers 73 nonurban counties and runs through 2030. Separately, Gov. Mike DeWine signed SB 315 on July 7, while SB 198 remained pending after a fourth Senate Health Committee hearing.
Patient-weighted across the 60 centers with UDS 2024 data.
Ohio is a reduced-practice state: APRN-CNPs must hold a written 'standard care arrangement' with a collaborating physician or podiatrist under ORC 4723.431, and prescribing runs through that agreement. For FQHCs this means every nurse practitioner hire consumes physician collaboration capacity, which raises recruiting costs and constrains NP-led site expansion in the rural counties where physician supply is thinnest. Full-practice-authority bills have been introduced repeatedly in the General Assembly without passage, so Ohio health centers should plan staffing models around collaboration agreements for the foreseeable future.
Medicaid community-engagement (work) requirements under CMS-2454-IFC (80 hrs/month, full implementation Jan 1, 2027) plus expiry of the enhanced ACA premium tax credits (end of 2025) threaten Ohio's expansion population and FQHC Medicaid revenue.
Role implications
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Ohio ranks #5 by FQHC patients, with 61 organizations and 616 sites tied to Medicaid work-requirement exposure.
Use this as the board agenda frame: exposure, owner, decision date, and the first source to recheck.
47.9% Medicaid/CHIP, 13.3% uninsured, and 3.4 points below the expansion peer average.
Turn the payer mix into scenarios for PPS, 340B, grants, and patient-volume stress.
150 public ATS snapshot rows across 8 sources; largest systems and directory links show where hiring capacity may need verification.
Use the state read to pick roles to watch, openings to save, and retention risks to discuss with managers.
Ohio combines 1,011,546 FQHC patients with reduced NP practice context and access pressure from payer mix.
Map the signal to panel access, team-based care, top-of-license planning, and patient-impact follow-up.
OACHC, state policy context, and the December 31, 2026 CHC Fund cliff define the sources to keep current.
Assign one source owner for state policy, one for federal deadlines, and one for billing/audit implications.
Ohio has 61 FQHC employers in the directory and 150 public ATS snapshot rows across 8 sources to compare before applying.
Use the state context to choose target employers, tailor proof, and save the next job or resource in My Progress.
150 live FQHC job postings in Ohio on the national board right now.8 include employer-posted pay.8 verified employer sources; newest review 2026-07-20.
The observation remains unknown until a reproducible source sweep or manual review is completed. No published match does not mean zero layoffs.
The row count describes the official artifact, not a count of FQHC layoffs. · Official source
Ohio's operating budget runs on the 2025-27 biennium; the live 2026 fiscal action is the $3.7B capital budget ($346.5M for behavioral-health facilities) and the $202M RHTP rollout.
Primary source · as of 2026-07-14
25 primary-sourced findings on Ohio FQHC policy and financing.Newest item: 2026-07-16
Observed July 16, 2026, RISE Recovery, an outpatient addiction-treatment program connected to ONE Health Ohio, says it is accepting patients at four locations—Youngstown, Warren, Newton Falls and Alliance—and posts appointment-only schedules with evening and Saturday hours at every site. The current schedule reaches 9:00 p.m. on selected weekdays and includes Saturday blocks at all four locations; the operator also lists telehealth appointments, Medicaid, Medicare and most commercial insurance, plus a sliding fee scale for qualifying patients.
This is a standing, operator-reported access baseline, not a dated expansion; the page gives no publication or last-updated date. It does not establish service availability during every posted hour, a real-time appointment, walk-in or 24/7 care, provider schedules or FTE, appointment capacity, visits, wait times, telehealth utilization, discount amounts, treatment completion or outcomes.
Observed July 16, 2026, Health Partners of Western Ohio's current back-to-school page lists weekday walk-in access for school shots and sports physicals at two Toledo health centers. Old West End posts walk-in hours of 8:30 a.m.–7:00 p.m. Monday–Friday, while Riverside posts 8:30 a.m.–3:30 p.m. Monday–Friday.
The page welcomes new and existing patients regardless of insurance status and says cost is based on family size and income. This is a standing, self-reported school-checkup access schedule, not a dated launch; the page gives no publication or last-updated date.
It does not establish year-round operation, daily walk-in capacity, guaranteed treatment, service-specific eligibility or documents, exact charges or discount tiers, staffing or FTE, visits, wait times, utilization or outcomes; office hours are not substituted for the separately posted walk-in hours.
NACHC's current funding page says annual discretionary Community Health Center funding expires September 30, 2026 and mandatory Community Health Center Fund authority expires December 31, 2026. The mandatory fund provides about 70% of federal health-center funding, and health centers recently received $4.6 billion through that stream.
FY2026 discretionary funding totaled $1.858 billion. NACHC says that without timely congressional action, health centers may scale back services, pause workforce recruitment or delay new projects.
Ohio University announced on July 10, 2026 that it received a $10 million, fully CMS-funded award to expand the rural health workforce through Health Workforce Ohio. Ohio University is a lead partner, while The Health Collaborative and the Ohio Association of Community Health Centers co-lead the initiative; OACHC will chair a steering committee of 11 statewide organizations.
Planned strategies include career exploration, apprenticeships and work-based learning, telehealth and digital-health training, reduced entry barriers and upskilling. The university reported more than 85 partner and collaborating organizations.
The Ohio General Assembly's status record shows that Senate Bill 315 passed the Senate on May 20, 2026, passed the House with amendments on June 10, and received Senate concurrence that day. It was sent to the governor on July 1 and signed by Governor Mike DeWine on July 7.
The linked status page documents the legislative timeline but does not enumerate the law's individual Medicaid program-integrity provisions.
A Commonwealth Fund economic-modeling brief (June 2026, IMPLAN methodology) projects that when H.R. 1's Medicaid and ACA marketplace provisions are fully implemented by 2029, Ohio will lose approximately 51,000 jobs and $4.4 billion in federal funds.
The brief finds Ohio's Rural Health Transformation Program award generates a partial offset — nationally, RHTP's 2026 spending is projected to raise GDP by $13.8 billion and add 110,100 jobs — but those gains are overshadowed by the much larger contraction driven by expiring enhanced ACA premium tax credits and Medicaid coverage losses, which nationally are projected to cut GDP by $40.7 billion and eliminate 339,100 jobs in 2026 alone.
For Ohio's health centers, the finding translates into shrinking insured patient panels, falling state and local tax revenue that funds public-health infrastructure, and a weaker regional economy as health-sector spending contracts.
HealthSource of Ohio's June 16, 2026 notice scheduled Mobile Vision visits for patients ages 5 through 21 in Wilmington from June 22 to 25, Washington Court House from June 29 to July 2, Hillsboro from July 6 to 10, Seaman from July 13 to 17 and Georgetown from July 20 to 24. The service includes a vision test, a full eye exam with a remote optometrist and glasses when needed.
Governor Mike DeWine signed Senate Bill 450 on June 15, 2026. The measure makes capital appropriations for the biennium ending June 30, 2028 and was enacted as an emergency act, with certain sections effective July 1, 2026.
Ohio Legislative Service Commission materials describe approximately $3.7 billion in FY2027-2028 capital appropriations and about $3.4 billion in new debt authorization.
The U.S. Department of Justice announced on June 4, 2026 that federal and state prosecutors charged nine defendants in alleged fraud exceeding $42 million. The announced matters included an alleged behavioral-health scheme exceeding $30 million, a separate alleged Medicaid behavioral-services scheme exceeding $12 million and an alleged conspiracy involving more than $1.4 million in COVID-19 relief funds.
DOJ also described new Ohio data-sharing and enforcement coordination. An indictment, information or complaint is an allegation, and defendants are presumed innocent unless proven guilty.
CMS issued interim final rule CMS-2454-IFC on June 1, 2026. States generally must implement its Medicaid community-engagement requirement by January 1, 2027. It applies to certain nonpregnant adults ages 19 through 64 in the Medicaid adult group and certain Section 1115 demonstrations, and requires 80 hours per month of qualifying work, community service or work-program activity, half-time education, a qualifying combination or equivalent earnings.
Applicants generally demonstrate one month before application; beneficiaries demonstrate one or more months between renewals. When compliance cannot be verified, states must provide 30 calendar days to show compliance or an exemption before denial or disenrollment.
A May 15, 2026 Statehouse News Bureau story reported that Representative Ashley Bryant Bailey said nearly 200,000 Ohioans had already lost care because of Medicaid cuts and that another 290,000 were likely to be removed over the next decade. The story attributed the projection to Protect Our Care and said the group's report identified 31 Ohio hospitals, clinics and providers as at risk of closing or announcing cuts.
The article does not provide a facility-by-facility list.
Ohio Senate Bill 198 would prohibit specified drug-manufacturer actions regarding reimbursements to 340B covered entities. The official bill page shows that it was introduced in the Senate and referred to the Senate Health Committee but had not been reported or passed.
The committee record lists four hearings: October 1, October 15 and November 12, 2025, followed by a fourth hearing on May 13, 2026. The October 15 proponent list included the Ohio Association of Community Health Centers and multiple named community health centers; the November 12 hearing included pharmaceutical and other opponents.
A May 8, 2026 Springfield News-Sun report said Ohio planned to begin Medicaid work and community-engagement requirements on January 1, 2027. Ohio selected a one-month activity lookback at application or renewal rather than a four-month lookback or quarterly checks.
It also planned to adopt all four optional hardship exceptions: high county unemployment, a natural disaster, hospital or nursing-facility admission and extended travel outside a community for medical care. Nonexempt adults generally must document 80 monthly hours of work, community service or a work program, half-time education or a qualifying combination.
Primary Health Solutions, a nonprofit federally qualified health center, announced plans to acquire Dayton-based nonprofit South Community Behavioral Health. Behavioral Health Business reported that the transaction was expected to close in July 2026, South Community's more than 300 employees were expected to continue in their roles and no layoffs were planned.
The publication's April 23 update said 2025 filings indicated combined annual revenue of $107 million or more. South Community was expected to become part of Primary Health Solutions after closing while continuing its outpatient, substance-use, youth, school-based and employee-assistance services.
In an April 9 notice, Five Rivers Health Centers reported the official opening of its new Xenia Campus with a grand opening and ribbon cutting. The former Rite Aid now provides comprehensive primary care for all ages regardless of ability to pay and is accepting new medical and dental patients, with an in-house pharmacy, podiatry, behavioral health and other services.
The opening notice does not report the first clinical-service date, added staffing or FTEs, appointment capacity, patient or visit volumes, utilization, or outcomes, so it supports only an opened-site and advertised-service signal.
The Health Policy Institute of Ohio reported that an Urban Institute analysis projected federal Medicaid work requirements and more frequent eligibility checks could cause 356,000 Ohio Medicaid expansion enrollees to lose coverage, about half of the expansion population. The April 3, 2026 item said the losses could include people who work, attend school, provide care or meet exemption criteria.
It separately cited at least 113,000 Ohio Marketplace coverage losses after enhanced tax credits expired.
Effective April 1, Signature Health expanded its existing Medication-Assisted Treatment program to include treatment for stimulant use disorder involving cocaine and amphetamine-type stimulants. The service is now available at all five Signature Health MAT locations: Painesville, Lakewood, Maple Heights, Willoughby, and Ashtabula.
The operator says care integrates evidence-informed clinical protocols, behavioral-health services, coordinated nursing and provider workflows, individual and group therapy, intensive outpatient programming, peer support, and evidence-supported pharmacologic options. Signature Health explicitly notes that no medication is currently FDA-approved specifically for stimulant use disorder.
The source reports no patients treated, encounters, medications used, staffing or FTE change, added appointment slots, wait times, retention, abstinence, or other clinical outcomes. The five locations are existing access points, not five newly opened sites.
The Centers reported on March 25 that its $34.3 million Glick Recovery Campus was under development on the former St. Vincent Charity Medical Center campus and slated to open in September 2026. Plans call for a 40-chair crisis-stabilization clinic; walk-in behavioral-health urgent care with an onsite pharmacy; 16 psychiatric-stabilization beds; 12 withdrawal-management beds; 24/7 staffing by peer-support specialists, nurses and psychiatric providers; and a community-health clinic offering outpatient behavioral health, primary care and pharmacy.
The release identified a $2.7 million funding gap and projected approximately 12,000 lives reached annually, but it does not document an opening, completed hiring or staffing FTEs, licensed-bed activation, realized patients or visits, utilization, or outcomes; all operational figures remain planned.
WOUB reported on February 2, 2026 that Ohio's first-year Rural Health Transformation Program award was just over $202 million, ranking 25th nationally and amounting to about $70 per rural resident. More than 73 of Ohio's 88 counties were described as rural or partly rural.
The report cited estimates that Ohio could lose more than $5 billion in federal Medicaid funding over 10 years and that the temporary national $50 billion rural fund would offset about one-third of projected rural Medicaid reductions. Planned Ohio uses included rural innovation hubs, school-based health centers, mobile vision, hearing and dental care, workforce programs and emergency-care and technology upgrades.
On January 15, Lower Lights Health reported that its Northland clinic and full-service pharmacy were officially open and welcoming patients following a January 12 ribbon-cutting. The operator says the location provides comprehensive medical care and pharmacy services and that patients from its Cooper Road location transitioned to Northland.
Although the announcement says the location allows Lower Lights to serve more patients, it supplies no first-patient or service go-live date, patient or visit capacity, staffing or FTE count, appointment availability, pharmacy volume, cost, utilization, or outcome result. It also does not establish whether Northland is a net-new directory service site rather than a relocation or replacement for Cooper Road; directory site counts and net-new capacity must not be inferred.
HHS TAGGS lists Ohio Department of Health award RHTCMS332087 at $202,030,262 for the Rural Health Transformation Program, with a performance period from December 29, 2025 through October 30, 2030. Its award description covers Ohio's 73 nonurban counties and names rural health innovation hubs, emergency-care transformation, school-based health centers, statewide mobile vision, hearing and dental care and a rural workforce pipeline.
It also describes community-health-worker and pharmacist upskilling, five-year rural service commitments, telehealth, remote monitoring and interoperable records. More than 300 partners, including hospitals, FQHCs, universities, EMS and associations, collaborated on the plan.
The Center for Community Solutions published Ohio modeling on August 16, 2025 for Medicaid provisions enacted through H.R. 1. The model projected a first-year enrollment decline of about 337,000 people, or 10.7% from baseline, with a range from 261,000 to more than 412,000.
It projected a $5.13 billion first-year decline in Medicaid spending. Over 10 years, it estimated $53.3 billion less in Medicaid expenditures, including $36.3 billion in federal funds, and enrollment nearly 321,000 below baseline.
The analysis linked the modeled changes to work requirements, six-month expansion redeterminations and other administrative provisions and identified federally qualified health centers among affected providers.
Gov. DeWine signed HB 96, the FY2026-2027 biennial budget, on June 30, 2025. It directs funding to the Ohio Association of Community Health Centers (OACHC) to administer the FQHC Primary Care Workforce Initiative — providing clinical rotations for medical, dental, behavioral health, PA, and advanced-practice-nursing students through FQHCs — and allocates $20 million over the biennium for school-based health care.
Ohio submitted a Group VIII Section 1115 demonstration application to CMS on February 28, 2025. The proposed pre-enrollment requirement applied to expansion adults younger than 55 and required an individual to be employed, enrolled in school or occupational training, participating in alcohol or drug treatment, or to have intensive physical-health needs or serious mental illness; people age 55 or older also met a statutory criterion.
Ohio projected 769,585 Group VIII enrollees in 2026 and estimated that no more than 61,826 would be nonexempt and not working, with 61,826 projected to lose Medicaid eligibility under the demonstration.
A January 2025 George Washington University Geiger Gibson factsheet reported that Ohio had 51 community health centers operating 458 service sites in 2023, 37% of them rural. The centers served 912,306 patients, including 473,225 Medicaid enrollees—15% of Ohio's Medicaid enrollment, or about one in six.
Medicaid covered 52% of health-center patients and accounted for 53% of patient-care revenue charges. The factsheet also reported 8,257 full-time-equivalent health-center jobs.
By patients (HRSA UDS 2024). Tap for the full profile.
| Organization | Patients | Sites | Uninsured | Revenue (990) | Resilience | District |
|---|---|---|---|---|---|---|
| Muskingum Valley Health Centers Malta | 73,803 | 18 | 3.25% | $60M | Stable | OH-12 |
| Health Partners of Western Ohio Lima | 63,676 | 54 | 16.3% | $71M | Watch | OH-04 |
| Healthsource of Ohio Inc. Loveland | 60,693 | 23 | 5.67% | $74M | Stable | OH-02 |
| City of Cincinnati Cincinnati | 45,123 | 22 | 31.33% | — | Watch | OH-01 |
| Butler County Community Health Consortium Hamilton | 41,575 | 19 | 21.33% | $43M | Watch | OH-08 |
| Hopewell Health Centers Inc. Chillicothe | 41,264 | 46 | 4.09% | $77M | Strong | OH-02 |
| Metrohealth System, the Cleveland · Look-Alike | 38,930 | 10 | 13.1% | — | Strong | OH-11 |
| Columbus Neighborhood Health Center, Inc. Columbus | 35,301 | 15 | 40.44% | $39M | Watch | OH-15 |
| Signature Health, Inc. Willoughby | 34,538 | 12 | 11.75% | $100M | Stable | OH-14 |
| Family Health Services of Darke County, Inc. Greenville | 27,486 | 8 | 3.85% | $44M | Strong | OH-08 |
2 hospital/university/county-operated: 2 county.
| District | Representative | Sites |
|---|---|---|
| OH-02 | David J. Taylor | 87 |
| OH-09 | Marcy Kaptur | 87 |
| OH-11 | Shontel M. Brown | 65 |
| OH-06 | Michael A. Rulli | 54 |
| OH-01 | Greg Landsman | 51 |
| OH-04 | Jim Jordan | 51 |
Ohio ranks #5 by FQHC patients and #2 by organization count among the 57 national-breadth jurisdictions. All 61 centers depend on the federal Community Health Center Fund, authorized only through December 31, 2026.
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FQHC data from the HRSA bulk-sites file + UDS 2024 + IRS 990. State policy profile via NACHC/KFF/AANP. Intelligence items cite primary sources. Federal items apply to all states; state items are Ohio-only. Updated 2026-06-30.