CPC Reminders and Updates
Big 5 Initiatives Webinar Reminder
We hope that you are able to join us on for our next CPC webinar, August 23rd from 2:30p.m.-3:30p.m.. The webinar will focus on an overview of the Big 5 initiatives happening at ODM and will provide CPC practices the opportunity to ask questions. Registration for the webinar can be found on our CPC webinar page here.
2022 CPC and CPC for Kids Virtual Learning Summit
Our annual CPC Learning Session will be held on September 20th from approximately 12:45p.m.-4:30p.m.. This year's session will continue to provide important Ohio Medicaid updates that impact our CPC practices. More details regarding this year's agenda will be coming in a future communication. Registration is now open and can be found on our CPC webinar page.
CPC Enrollment for the 2023 Program Year
The enrollment period for the CPC program is again slated for October. ODM anticipates sending out invitations to those who are eligible in early September 2022. Invitations will be sent via email to the CPC contact found in the MITS Secure Provider Portal.
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. 20 or plan to hold updates until Oct. 1. It is therefore vital to make sure updates are completed by Aug. 20 to ensure all CPC invitations are received.
For assistance with how to update your demographic information, refer to the training video found on the ODM website here. If additional assistance is needed, contact the Provider Hotline 800-686-1516.
CPC Reporting and Payments Reminder
CPC Q2 2022 practice reports were posted to the MITS Secure Provider Portal last month along with the Q3 2022 payment and attribution files - to all 2022 participating practices. Q3 2022 PMPM fee-for-service payments were dispersed on July 18th. All Managed Care payments should have been received within the following 15 business days.
If you need assistance with accessing your CPC reports in MITS, refer to the "How to Setup a MITS Agent Account and Access CPC Reports Video" found under the Learn More section of the CPC homepage. We advise accessing and downloading these reports for review, if you have not done so yet.
PNM and OH|ID: Top 5 Things You Need to Know
As you may be aware, ODM is in the process of modernizing its information management systems. The path to modernization includes an update to current Medicaid provider portals like MITS and will impact how Ohio Medicaid providers perform required administrative actions.
Please take a moment and read through the top five ways you can be prepared ahead of the launch of the Provider Network Management (PNM) module and centralized credentialing with OH|ID.
1. Ohio Medicaid is replacing MITS with a modernized Provider Network Management module.
The Ohio Medicaid Provider Network Management (PNM) module will replace the current MITS provider enrollment subsystem and MITS provider portal beginning Oct. 1. The PNM system and portal will allow for one front door for provider enrollment, centralized credentialing, provider self-service (demographic updates and group affiliations), and an enhanced provider directory.
2. Providers are required to obtain a State of Ohio supplier ID to do business with Ohio Medicaid.
The PNM will require Ohio Medicaid providers to use an OH|ID to log in and complete key administrative tasks and processes. An OH|ID is a personal online user account that provides a secure, personalized experience for providers to interact with multiple state agencies, programs, and services—all with a single username and password. OH|ID was developed by the Ohio Department of Administrative Services’ InnovateOhio Platform. It meets all federal and state security standards.
3. Be in the know on Medicaid provider changes coming.
To prepare for the launch of the PNM, be sure to stay up to date on all email communications from the Ohio Department of Medicaid. These emails will include valuable information about training, support resources, and launch timeline updates for the PNM and Centralized Credentialing. Updates will be posted on the Managed Care Website. You also can subscribe to our Next Generation provider newsletter by clicking here: Subscribe Form | Medicaid (ohio.gov) and checking the box next to ODM 2022 Press.
4. Providers should register for their OH|ID during the PNM preregistration period.
Providers will have the option to preregister for the PNM portal and OH|ID account beginning Aug. 15. We highly recommend that once the preregistration tool is live, providers take a few minutes to set up their account and prevent any disruptions to their system access after the PNM module launches Oct. 1.
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