Important Information for Hospice Providers
Automated Processing of Hospice Room and Board Private Room Add-on Payments
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Drug Utilization Review Committee in Search of Pharmacists
Searching for two pharmacists! The ODM has posted a Request for Letters of Interest (RFLI) in hopes of identifying two qualified pharmacists to serve on our Drug Utilization Review (DUR) Committee.
odx-read-more about the article: Drug Utilization Review Committee in Search of PharmacistsEMS FAQ
The Ohio Revised Code allows ODM to provide supplemental Medicaid payments to eligible EMS organizations for ground ambulance services to FFS Medicaid recipients.
EMS FAQHEDIS / CAHPS Dashboard Live Now
As a part of the Ohio Department of Medicaid’s (ODM) goal to improve accountability and increase transparency, we are launching a new dashboard focused on the Healthcare Effectiveness Data and Information Set (HEDIS) and the Consumer Assessment of Healthcare Providers and Systems (CAHPS).
MCP Report CardNext Generation MyCare plans selected!
ODM chose four Next Generation MyCare plans to serve Ohioans who are dually eligible for both Medicaid and Medicare starting January 2026.
Award AnnouncementNow accepting new trading partners
The Ohio Department of Medicaid (ODM) is now enrolling new trading partners. Interested trading partners can find additional enrollment information on the Trading Partner Enrollment and Testing page.
Enrollment and Testing InformationStill have questions about changes we made recently?
Next Generation launch resources for providers guide you on prior authorizations, claims, enrollment, credentialing, and more.
Learn MoreLet’s keep in touch!
Ohio Medicaid and our partners want to keep you in-the-know on your healthcare needs and to-dos. Make sure we know how to reach you by updating your contact information today.
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odx-news
odx-all-newsODM Releases First Performance Results for CMC Program
The Ohio Department of Medicaid Releases Very First Performance Results for Comprehensive Maternal Care Program
September 24, 2025
Governor DeWine Recognizes OhioRISE Three-Year Milestone
Governor DeWine Recognizes OhioRISE Three-Year Milestone
July 31, 2025
ODM Talks Single Pharmacy Benefit Manager at JMOC
SPBM provides pharmacy services across all Ohio Medicaid managed care plans and members.
June 26, 2025
Common Questions
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Ohio Medicaid is changing the way we do business. We are redesigning our programs and services to focus on you and your family. The changes we make will help you more easily access information, locate health care providers, and receive quality care.
On February 1, 2023, Ohio Medicaid launched the new Electronic Data Interchange (EDI) and Fiscal Intermediary as part of our ongoing commitment to streamlining the provider administrative experience. Read on if you are looking for information specific to our current programs. For insights into what you need to know, visit managedcare.medicaid.ohio.gov/providers.
Ohio Medicaid achieves its health care mission with the strong support and collaboration of our stakeholder partners - state health and human services agencies, associations, advocacy groups, and individuals who help us administer the program today and modernize it for the next generation of healthcare.
The Ohio Department of Medicaid (ODM) provides health care coverage to more than 3 million Ohioans through a network of more than 200,000 providers. Learn more about Ohio's largest state agency and the ways in which we continue to improve wellness and health outcomes for the people and families we serve.