Attention Medicaid provider,
All Ohio Medicaid provider organizations must disclose and maintain information about ownership, control interest, and managing employees in the Provider Network Management (PNM) module as part of their Medicaid Provider Agreement. The Ohio Department of Medicaid is required to verify that individuals and organizations disclosed for this purpose are screened against several federal exclusion databases. The PNM module automatically runs these checks on a monthly basis.
If you are receiving this email, our records show that one of your organization’s disclosed owners or managing employees is triggering a match on the Social Security Death Masterfile, a federal exclusion database. You must take immediate action to avoid termination.
Required action
- Log into the PNM and complete an update.
- Medicaid-only providers should choose “Begin Reapplication” or “Begin Revalidation.”
- Providers with Department of Developmental Disabilities contracts need to choose “Begin DODD Enrollment.”
- Check for the following common issues:
Note: If you submitted an update to this information that Ohio Medicaid is currently reviewing, you do not need to take any further action.
For more information
Access the Updating or Adding Owner Information Quick Reference Guide for step-by-step instructions on how to update your provider information in the PNM. For technical support or assistance, contact Ohio Medicaid’s Integrated Helpdesk (IHD) at 800-686-1516 and follow the prompts for provider enrollment (option two, option two) or email IHD@medicaid.ohio.gov. Representatives are available Monday-Friday, 8 a.m.-4:30 p.m. Eastern time.
Sincerely,
Ohio Medicaid Provider Compliance
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