Welcome to the February 1 launch of the Next Generation of Ohio Medicaid!
On February 1, we implemented the Next Generation managed care plans, new Electronic Data Interchange, and Fiscal Intermediary.
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The Next Generation launch - provider, resources, and guidance
On February 1, Ohio Medicaid launches the Next Generation of managed care, the new Electronic Data Interchange, and the Fiscal Intermediary. Click the link below for resources and more.
Resources, guides, and moreComing February 1
Next Generation of managed care. Electronic data interchange. Fiscal intermediary.
Learn More HereIt's the card to carry!
Take your new Medicaid ID card with you whenever you see a doctor, or pick up a medicine, or seek services about your health.
Learn More HereStill 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.
Update your contact information
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ATTENTION PROVIDERS: ensure accurate and timely claims submission
Check your Trading Partner (TP) readiness to ensure accurate and timely claims submission. We created an easy-to-use spreadsheet to check your TP readiness for the February 1 launch. This information will be updated and posted regularly.
Click here to learn more
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, Ohio Medicaid launches 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 for February 1, 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 165,000 providers. Learn more about Ohio's largest state agency and the ways in which we continue to improve wellness and health outcomes for the individuals and families we serve.