How do you know if you are due for revalidation?

1. Check your mail and email. 

ODM mails and emails reminder notices to providers who are due for revalidation before the end of their Medicaid agreement. The email will be sent from OHPNM@maximus.com to advise you of a revalidation notice in the PNM Correspondence folder. Please check your spam folder for this email.  

2. View the Correspondence folder in the PNM module. 

ODM posts revalidation notices in the Correspondence folder in the PNM module. Please be sure to select the type of correspondence from the drop down (in this case <Enrollment Notices>), and search for the “Revalidation Notices.” Review the Accessing Communications within PNM Quick Reference Guide for step-by-step instructions.

NOTE: If you think you are due for revalidation but have not received notices, please login to the PNM module and verify that the primary contact information is accurate in accordance with your Ohio Medicaid Provider Agreement. All mailers and email notices are directed to the primary contact individual or address identified in the system.

If you are due for revalidation, what action do you need to take? 

A “Begin Revalidation” option appears in the PNM Enrollment Action Selections 120 days prior to the Medicaid Agreement end date. You can find this under the “Manage Application,” “Enrollment Actions” option within the provider file. Review the Revalidation/Reenrollment Quick Reference Guide for step-by-step instructions.  

What should you do if you did not complete your revalidation and your Ohio Medicaid Agreement has been terminated? 

In most cases, you will still be able to see the “Begin Revalidation” button by following the same instructions described above. After completing those steps, ODM will review and determine the effective date.   

If you are a provider type that does not have the “Begin Revalidation” option, please select the “Begin Reapplication” option, complete your application by updating any relevant information, and submit for review and re-enrollment. 

For more information  

For technical support or assistance, contact Ohio Medicaid’s Integrated Helpdesk (IHD) at 800-686-1516 and follow the prompts for Provider Enrollment (option three, option three) or email IHD@medicaid.ohio.gov. Representatives are available Monday-Friday, 8 a.m.-4:30 p.m. Eastern time. 

To learn more about the PNM module and Centralized Credentialing, visit the PNM and Centralized Credentialing page on the Next Generation website.