If you are reading this, you have come to the right place. The enrollment process is electronic, and completion takes only a few minutes, In order to become an Ohio Medicaid Provider, you must complete a web-based electronic application. Ohio does not accept paper applications. Our web-based provider application is designed to walk you through the steps in order to submit all the information that the Ohio Medicaid program needs to enroll you as a new provider.
How do I begin?
1.Open the following link: “Ohio Medicaid Online Application ” to access Ohio Medicaid’s online application. From the main screen, you will need to select the “New Provider” button located on the top right side of the home page screen . If you are an existing user with an assigned administrator or agent role in the PNM, please note that the “New Provider” button is only available for “administrators” and not “agents”. If you are enrolling as a new practitioner or individual provider and starting as a completely new user, you will create your OHID and sign in to the PNM as a provider administrator to be able to complete and submit a new application for enrollment.
2.On the next screen you will be asked to select your application Type. For example, if you are a doctor or nurse you should select “Standard Application” you should select “individual practitioner.” However, if you are an individual that wants to provide Ohio Department of Medicaid waiver services to someone living in their own home you should select “Medicaid Waiver (ODM)”.
The system will then ask you to provide basic demographic and identifying information along with your provider type selection. Your selection of “Provider Type” response is extremely important. If you are unsure of what provider type to request, you should contact the Integrated Help Desk at 1-800-686-1516 for additional information on additional resources that can help you make this determination.
After you have entered your basic demographic information, the system will issue you a
Registration ID (Reg ID). You should record this Reg ID immediately, because it will serve as your key to return to your application or to track it through the enrollment process.
The web-based application will take you through a series of screens depending on your provider type. Be sure to read and answer the questions correctly. Whoever knowingly and willfully makes false statements or representations on this application may be prosecuted under applicable federal or state laws.
Once you have completed the application, the system will provide information regarding next steps. Your next steps could include uploading or submitting additional documentation necessary for enrollment. Failure to submit the documents as required could cause your application to not be processed and you will have to begin the process all over again.