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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.
Provider News

**Attention Ohio Home Care Waiver and Transitions Carve Out Waiver Providers**

The Ohio Department of Medicaid has corrected the issues involving claims submitted on Friday April 11, 2014, which were denied due to Edit 6778, Cost Cap Denial.  Providers do not need to resubmit these claims.  The system will reprocess them this week.  If providers have already resubmitted these claims and the claims processed successfully, the reprocessed claims will deny as a duplicate.

Primary Care Rate Increase: Approved Providers

Primary Care Physician Rate Increase FAQ

Self Attestation Grace Period Extended

Accessing the Self Attestation Panel

Provider Enrollment Application Fee

Behavioral Health Provider Integration Project

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.