The Ohio Department of Medicaid is working to make access to care easier and more flexible during the COVID-19 pandemic. The agency, in partnership with the Governor’s office, our sister agencies as well as managed care plans, providers and consumers, has:
- Expanded telehealth services to include a wide array of medical, clinical and behavioral health providers and counselors
- Eased technology restrictions on patient-physician interaction to deliver telehealth services
- Reduced prior authorization requirements to for many medical and behavioral services
- Enhanced pharmacy benefits, eliminating in- and out-of-network restrictions, pharmaceutical co-pays while increasing pharmacy reimbursements for over the counter medications
- Enabled nursing home and congregate care members to access telehealth services with no prior authorization
Learn more about the emergency provisions now in place for Medicaid beneficiaries and their providers
OHIO MEDICAID EMERGENCY TELEHEALTH GUIDANCE
- Provider Resource Guide
- Unified Telehealth Policy
- Telehealth Billing Guidelines for Dates of Service on or after 11/15/2020
- Telehealth Update Webinar 09-01-2020
- COVID-19 Emergency Telehealth Rules Updated Guidance 07-17-2020
- 5160-1-18 Telehealth Emergency Rules July 16
- 5160-1-18 Telehealth Emergency Rule Appendix July 16
- Emergency Telehealth Claims Guidance for Medicare and TPL Coverage
- Executive Order 2020-05D - ODM-OMAS Emergency Telehealth Guidance
- Updated list of COVID-19 Telehealth Rules Frequently Asked Questions (Version 2)
- Telehealth Billing Guidelines for Dates of Service 3/9/2020 through 11/14/2020
Please Note: this document does NOT apply to OhioMHAS-certified providers.
- COVID-19 Telehealth Billing Desk Guide
- Ohio Medicaid Emergency Telehealth Infograph 04/13/2020
- ODM-OMAS Emergency Telehealth BH Provider Presentation Deck
OHIO DEPARTMENT OF MEDICAID - CMS APPLICATIONS - COVID-19