Join Us for the Next Generation Ohio Medicaid Program Provider Overview Webinar!

Ohio Medicaid Providers,

We are excited to share that the Ohio Department of Medicaid (ODM) is kicking off its provider awareness and training efforts in preparation for the October 1, 2022, Stage 2 launch of the Next Generation program! To begin these efforts, we will be hosting a 2-hour webinar to share information on the exciting changes Ohio Medicaid providers can expect, including an overview on the transition to the Ohio Medicaid Enterprise System (OMES) modules, upcoming training plans and dates, and where providers can receive communications from ODM throughout the Next Generation transition and implementation.

Providers, please utilize the links below to register for the provider group session that you best fit into. We kindly request that providers only join one live event due to capacity limitations.

Associations, please share this information with your provider contacts to make sure all providers are educated on Ohio Medicaid’s Next Generation program.

The webinar is being offered several times and will also be made available as a recording on the Resources for Providers webpage of the Ohio Medicaid Next Generation website.

Want to learn more about the benefits Ohio Medicaid members and providers will experience through the Next Generation program Stage 2 launch? Check out the PNM & Centralized Credentialing and Single Pharmacy Benefit Manager (SPBM) pages of the managedcare.medicaid.ohio.gov website.

For questions, please contact ODMNextGen@medicaid.ohio.gov.

ODM is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws. To request a reasonable accommodation due to a disability, please contact ODM’s ADA coordinator at 614-995-9981/TTY 711, Fax 1-614-644-1434, or email: ODM_EEO_EmployeeRelations@medicaid.ohio.gov at least three (3) business days prior to the scheduled meeting.  Further information can be found here: Notice of Nondiscrimination.

Provider Enrollment and Maintenance Update

Beginning Aug. 1, the Ohio Department of Medicaid (ODM) will temporarily stop accepting provider enrollment applications as we transition to the new Provider Network Management (PNM) module. New providers should enroll by July 31 or plan to hold enrollment applications until Oct. 1. Information about OhioRISE provider enrollment during this time is forthcoming.

If you are a provider who is not currently enrolled and wish to enroll to provide any services under the Next Generation of Ohio Medicaid, please visit the following link to the Ohio Medicaid online application by July 31: https://portal.ohmits.com/Public/Providers/Enrollment/tabId/49/Default.aspx

Beginning Aug. 31, all provider demographic and agent maintenance update functionality will be closed for conversion of data in MITS. Enrolled providers should update their demographic information in MITS by Aug. 30 or plan to hold updates until Oct. 1. Please visit the following link to the MITS Secure Portal Login: https://portal.ohmits.com/Public/MenuRedirect.aspx?Login%20Redirect  

Please make sure to add or update all practice locations and provider affiliations in advance of data conversion.

On Oct. 1, provider enrollment and maintenance-related activities will resume and be accessed using PNM. For more information about PNM and trainings, please visit: https://managedcare.medicaid.ohio.gov/managed-care/centralized-credentialing

Registration is open for Provider Network Management (PNM) Training!

As you are likely aware, Ohio Medicaid is in the process of implementing our Next Generation program to focus on the individual rather than the business of managed care so that we can do better for the people we serve. One way we hope to achieve this vision is through the implementation of the Provider Network Management (PNM) module to reduce the administrative burden on providers.

Training and Learning Management System

In preparation for Stage 2 go-live (Oct. 1, 2022), we are offering a variety of training options including self-paced, virtual, and in-person training options. Absorb, the Learning Management System (LMS), is where you will access the self-paced training and sign up for the virtual and/or in-person sessions.

LMS Registration

Training sessions are scheduled to begin Aug. 1, 2022, and it is important that you create an account in the LMS to ensure you have access to all training sessions, answer forms, and PNM resources in advance. Click on the appropriate link below, based on your provider type, to access the LMS and follow the steps to create your account and register for training:

Questions

Please email ohiotrainingteam@maximus.com with any questions regarding training sessions or additional information.

About the PNM and Centralized Credentialing

The PNM module and Centralized Credentialing program are part of the “Big 5” strategic initiatives being implemented within the Next Generation of Ohio Medicaid’s managed care program.

The PNM will replace the current Medicaid Information Technology System (MITS) provider enrollment subsystem provider portal. This module will be implemented along with Centralized Credentialing, which is a state-level single centralized provider credentialing process. These initiatives will modernize the system by streamlining processes and reducing administrative burdens for providers. For more information about PNM and Centralized Credentialing, visit the Managed Care website.

Thank you in advance for your consideration and for your support of ODM’s Next Generation vision.