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Welcome Providers
Ohio is home to more than 75,000 active Medicaid providers. The partnership between Ohio Medicaid and its provider network is critical in ensuring reliable and timely care for beneficiaries across the state. In the months ahead, this page will become a go-to resource for learning more about training, billing, rate-setting and additional areas interest concerning the provider community.


(Updated: March 23, 2015):

IMPORTANT NOTICE FOR MEDICAID PROVIDERS

Due to a recent MITS system issue, an error occurred on March 18, 2015 that impacted approximately 4,200 Ohio Medicaid providers. These providers received letters stating that they had been terminated and/or excluded from Ohio Medicaid.

The letters were generated in error and should be disregarded.

This system issue has been resolved and all affected providers have been restored to an ‘Active’ status.

The Ohio Department of Medicaid deeply regrets any confusion this may have caused, and we apologize for any inconvenience.

If you are an impacted provider and have questions or additional concerns, please contact Ohio Medicaid Provider Hotline at 1-800-686-1516.



Mandatory Waiver Provider Training

This notice is to inform all providers of services to individuals on an Ohio Department of Medicaid (ODM) home and community-based services waiver of mandatory training on incident management. An “incident” is an alleged, suspected or actual event that is not consistent with the routine care of, and/or service delivery to, an individual enrolled on an ODM waiver.

The mandatory training can be viewed at http://ohiohcbs.pcgus.com/TrainingMaterials/ In addition, upon entering into a Medicaid provider agreement, and annually thereafter, all providers must acknowledge in writing they have reviewed Ohio Administrative Code Rule 5160-45-05 Ohio department of Medicaid (ODM)-administered waiver program: incident management system, which can be found at http://codes.ohio.gov/oac/5160-45-05

Questions may be directed to ODM’s contracted Provider Oversight Contractor, Public Consulting Group (PCG) at 1-877-908-1746.