Ohio Medicaid care coordination
Learn how we're supporting our members through a wide variety of care activities and collaboration. Click the link below for resources that include FAQs, video playlists, and more.
Care coordination resourcesOhio Department of Medicaid
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EDI Claims Bridge Payment Program
Reimbursement relief for Medicaid billing providers and trading partners submitting claims via electronic data interchange (EDI).
Learn moreWelcome 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.
Learn moreThe Next Generation launch - provider, resources, and guidance
On February 1, Ohio Medicaid launched 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 moreThe Next Generation of Ohio Medicaid is here!
Next Generation of managed care. Electronic data interchange. Fiscal intermediary.
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
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odx-all-newsGovernor Introduces Program to Improve Maternal and Infant Health Outcomes
CMC was announced in September of 2022 as part of Governor DeWine’s Bold Beginning: Healthy, Supported Families.
January 23, 2023
Congress sets April 1, 2023, as the official start date for Medicaid eligibility renewals
Ohio Medicaid to resume regular eligibility operations and encourages enrollees to update their contact information.
January 12, 2023
Ohio Medicaid’s Next Generation program launch updated to February 1
Ohio Department of Medicaid (ODM) Director Maureen Corcoran announced a revised schedule for the next stage of implementation of the Next Generation managed care program.
November 17, 2022
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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 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 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.