News for Ohio Medicaid Providers

Focus on the Individual rather than the business of managed care

Ohio Department of Medicaid

ODM Press

February 9, 2024


The ODM Press is a periodic email update on the progress of the ODM strategic initiatives for providers, associations, and advocacy organizations.


In this issue:


Integrated Helpdesk changes and improvements

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Ohio Department of Medicaid (ODM) values the feedback we receive from the provider community and is committed to continuously improving our processes to serve providers better. In response to feedback from providers and provider associations, we made important changes and improvements to the Ohio Medicaid’s Integrated Helpdesk (IHD).

ODM increased the number of claims providers can inquire about per call from three to five. Providers are not limited to the number of questions they may ask to address these five claims fully. Upon completion of the call, providers are encouraged to review the provided information against any remaining claims. However, providers will also be offered an option to schedule a follow up appointment or encouraged to call back in to discuss remaining unresolved claims issues. This adjustment aims to facilitate more focused claim discussions.

Additionally, ODM is working on the development and implementation of an interactive artificial intelligence tool, "Gabby," to improve the provider experience. Gabby will be available through the IHD 24/7 and can assist with multiple claim inquiries.

For additional help

For claim assistance, contact the IHD at 800-686-1516, option 1, or email IHD@medicaid.ohio.gov. Representatives are available Monday-Friday, 8 a.m.-4:30 p.m. Eastern time.

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Reminder: Accessing Ohio Department of Medicaid Fee Schedules

Since Ohio Department of Medicaid (ODM) announced the rollout of historic reimbursement rate increases effective January 1, the Ohio Medicaid Integrated Helpdesk is receiving more calls inquiring about fee schedules. As a result, we are reaching out to remind providers where to find all current Medicaid fees schedules and how to access them.

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On the Ohio Medicaid website, via the Fee Schedule & Rates page.

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Via the Provider Network Management homepage, click on the “Fee Schedule” tab at the top and follow the prompt to the hyperlink. Note: you do not need to be logged into PNM to access the “Fee Schedule” tab.

For more information 

For additional questions or technical support, please contact Ohio Medicaid’s Integrated Helpdesk at 800‐686‐1516 or email IHD@medicaid.ohio.gov. Representatives are available 8 a.m.‐4:30 p.m. Eastern time Monday‐Friday. 

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Register now for Provider Network Management module refresher training

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Ohio Department of Medicaid, in partnership with Maximus, the Provider Network Management (PNM) module vendor, is excited to share that we are continuing our provider awareness and training efforts. Training is scheduled for February 6 –15, and the training schedule is available on the PNM and Centralized Credentialing page. Below, you will find how to register for sessions and a list of topics covered in each.

Registration steps for enrolling through the learning management system  

Access the Absorb learning management system to register for the training. If you do not have an Absorb account, you must create one to access all training sessions, answer forms, and view various PNM module resources. For help, please see our job aid and follow the steps to create your account and/or register for training. 

Training topics 

  • Provider Administrator User (PNM Dashboard/Homepage). 
  • Provider Administrator User (Application). 
  • Provider Agent User. 
  • Updating/Managing Affiliations. 
  • Updating Individual Practitioner Records. 
  • Updating Group/Organization Records. 
  • Maintaining Behavioral Health Provider Records.

Note: Additional session details are available within the Absorb course listing.

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 technical issues accessing the PNM module or have specific questions, please contact the ODM Integrated Helpdesk at 800-686-1516 or IHD@medicaid.ohio.gov. The ODM Integrated Helpdesk is open 8:00 a.m.-4:30 p.m. Monday-Friday, Eastern time.

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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.

Please also encourage anyone who you think might be interested in receiving similar
updates to subscribe to the ODM Press. To view our past newsletters, please visit our website here.

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