All Ohio Department of Medicaid (ODM) providersare required to revalidate or renew yourODM provider agreement every three yearsor five years. Credentialed provider types are subject to three-year provider agreements and are both revalidated and recredentialed at that interval. All other providers are subject to five-year provider agreements and must revalidate before the end date of that agreement to continue participation in Ohio Medicaid as an active enrolled provider.
ODM mails and emails a reminder notice to the contact listed on the Primary Contact page in the Provider Network Management (PNM) module120 days before the Ohio Medicaid provider agreement expires.To ensure you receive these notices, you must maintain a current mailing and emailaddress.
Review the “2023 Upcoming Revalidations” file
To provide additional support and information about provider revalidation schedules, ODM has published a 2023 Upcoming Revalidationsfile on the Ohio Medicaid website and can be found here.This report provides a complete list of all revalidations due in 2023.The revalidation list contains the provider’s name and National Provider Number (NPI) or Medicaid ID.
Once the revalidation workflow in PNM is initiated within the120-day provider agreement revalidation timeframe, providers cannot initiate any other workflows to perform PNM updates (i.e., affiliations, demographic updates, requesting a new specialty, etc.) until the revalidation is complete and approved. However, updates or changes may still be made within the revalidation workflow as part of the revalidation verification process.
Note:ODM will publish arevalidation list for 2024 in early October 2023.
For more information
For technical support or assistance, contact ODM’s Integrated Helpdesk (IHD) at 800-686-1516 and follow the prompts for Provider Enrollment (option 2, option 2) or email IHD@medicaid.ohio.gov. Representatives are available 8 a.m.-4:30 p.m. Eastern time Monday-Friday.
Feel free to distribute the information contained within this update to your colleagues, organization's members, or with anyone who you think might find it useful. We want all Ohioans to know what is going on with ODM's strategic initiatives.
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Our email address will remain active through transition to and implementation of Ohio Medicaid's next generation program! We are always open to your ideas and feedback. To view our past newsletters, please visit our website here.
