A fifth wheel hitch is adapted to affix to a vehicle having a vehicle-mounted ball that protrudes from a towing vehicle surface. The hitch has a frame with a sleeve portion that is fixed, and a rocker assembly is telescopingly received inside the sleeve portion. The rocker assembly is selectively affixed to the frame with a pin that extends through the receiver and sleeve portion. A ball cage affixes to the vehicle-mounted ball using pins that extend through vertical walls in the cage. The ball cage can be received by the frame in a close orientation that locates the vehicle-mounted ball closer to the rocker assembly and a far orientation that locates the ball farther away. The cage includes a threaded fastener that extends outwardly. The frame has an elongate aperture that receives the threaded fastener to secure the ball cage with a nut into a cage pocket.