ODM policy guidance for managed care organizations regarding: behavioral health, pharmacy, dental, hospital services, long term care, provider enrollment, laboratory services, substance use disorder treatment, file specifications, EPSDT, EVV, MyCare Ohio, hospice, medical necessity and prior authorization limitations, episodes of care, and more.
2023
- Hospital Admitting Privileges
- Nursing Facility Encounter Guidance
- Ordering, Referring, and Prescribing (ORP) Requirements
- Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Program
- Medical Necessity Reviews for Non-Covered Services and Prior Authorization Limitations
- Rendering Practitioner NPI Requirements
- PMF Source of Truth
2022
- Transition of Care Requirements
- Inpatient Prior Authorization Memo
- Additional Transportation for Members
- Rendering Providers on Professional claims
- Zynteglo Coverage Memo
- Skysona Coverage Memo
- Zolgensma Coverage Memo
- Credentialing for New MCEs
- Coverage of Chiropractor E&M Services
- Medicaid Addendum-Removing Attachment B
2019
- Incident Management Timeframes and Documentation Requirements
- MyCare Ohio Report Submission Changes – Incident Management, Health & Welfare, and Self-Direction
- Urine Drug Screen Guidance
- Clarifications Related to Home Delivered Meals Waiver Service
2018
- NF LOC Waiver Alignment Update
- MyCare Ohio Home Modification Waiver Service
- Waiver Service Provider Signature Requirement
- Addressing Patient Liability Discrepancies
2015
2014