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Ohio Medicaid is upgrading its claims payment system as part of our Next Generation of Managed Care program. Regarding the Ohio Medicaid Enterprise System (OMES) phased implementation approach, we wanted to alert providers that the Provider Network Management (PNM) module and MITS will be down for maintenance on Tuesday, January 31, 2023 from 11:00 a.m. through Wednesday, February 1, 2023 at 7:00 a.m. Effective February 1 at 7:00 a.m., the new Electronic Data Interchange (EDI) solution and the Fiscal Intermediary (FI) will be operational. If you use PNM and MITS to conduct your Direct Data Entry Portal business, that functionality will also be available at 7:00 a.m. on February 1.
For important information on submitting claims and prior authorizations in the PNM and new the EDI please see our Submitting Claims and Prior Authorizations webpage on the Next Generation website. For more information about the FI please visit our Fiscal Intermediary webpage.
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Ohio Department of Medicaid (ODM) would like to extend a sincere thank you for taking the time to attend the Next Generation February 1 Launch Provider Webinar to learn more about upcoming changes you can expect. The slides and recording from the session will be located on the Resources for Providers webpage of the Ohio Medicaid Next Generation website or the links below.
Once again, thank you for taking time out of your day to attend the session. We look forward to hearing from you soon.
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Did you know that to enroll into the OhioRISE program, every child or youth will need a Child and Adolescent Needs and Strengths (CANS) assessment? Today, we have over 2,200 Ohio CANS assessors, but we need more. Please consider taking the one-day, live virtual training and certification exam. There is no cost to you since fees are covered by the state. By signing up for this training, you can receive continuing education credits, eligible providers can bill Medicaid, and you don’t need to have a clinical background!
How do I become a certified Ohio CANS assessor?
To become a certified Ohio CANS assessor, you must complete a full-day CANS training session with the Child and Behavioral Center of Excellence (COE) and then register on the Praed Foundation’s website to complete the certification exam. The COE will provide you with a coupon code to waive the cost of the exam after you have completed the CANS training session. After obtaining certification, you will be able to register in the CANS IT System and complete a CANS assessment with a child or youth. CANS training sessions are offered on various days each month from 8:30 a.m.-3:30 p.m. Check out the CANS Resources page of the OhioRISE webpage for more information on how to get certified and how to bill Medicaid for CANS assessments!
I am certified in a previous version of the CANS assessment. Am I able to conduct Ohio Children’s Initiative CANS assessments?
CANS Booster training is available to assessors who were certified in a previous version of the CANS assessment. Booster training allows CANS assessors certified in an earlier version to conduct Ohio Children’s Initiative CANS assessments until their next certification date, at which time the assessor must certify in the Ohio Children’s Initiative CANS.
I am already certified as an Ohio CANS assessor. What professional development opportunities are available to me?
The COE launched the CANS Learning Community as a professional development opportunity for Ohio CANS assessors. The learning community meets monthly for a semi-structured group learning session. Each meeting includes a 10-15-minute learning session on advanced technical content to enhance your skill development. Afterwards, the group reflects on the learning material, engages in questions and answers, and learns from one another. Additional information about the CANS Learning Community and other opportunities available for certified Ohio CANS assessors can be found on the CANS Resources page of the OhioRISE webpage.
ODM announces upcoming training dates prior to each upcoming month on the OhioRISE webpage. For questions or concerns related to course registration or enrollment for any COE-delivered trainings, please contact hxd256@case.edu. For any additional questions, please contact the OhioRISE mailbox.
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Learning management system registration
Absorb, the learning management system (LMS), is where the self-paced and virtual training sessions are accessed. If you do not have an account in the LMS, it’s important that you create one to ensure you can access all training sessions, answer forms, and view a variety of Provider Network Management (PNM) module resources. Access the job aid and follow the steps to create your account and register for training.
Training schedule
The training schedule has been posted and is available on the Next Generation website. Training module topics include:
- Agent setup and assignment.
- Adding/editing/confirming affiliations.
- Completing an update.
- Explanation of why enrollment actions do not display.
- Explanation of current statuses in the PNM module.
- Medicaid Information Technology Systems (MITS) redirection/issues.
- PNM helpful tips.
- Accessing remittance advice.
For more information
To learn more about the PNM module and Centralized Credentialing, visit the PNM and Centralized Credentialing page on the Next Generation website. If you are experiencing any technical issues accessing the PNM module or have specific questions, please contact Medicaid’s Integrated Helpdesk (IHD) at 800-686-1516 or IHD@medicaid.ohio.gov. The IHD is open Monday-Friday, 8 a.m. - 4:30 p.m. ET.
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