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News for Ohio Medicaid Providers
Ohio Department of Medicaid sent this bulletin at 07/12/2024 11:52 AM EDT
ODM Press
July 12, 2024
The ODM Press is a periodic email update on the progress of the ODM strategic initiatives for providers, associations, and advocacy organizations.
On June 30, 2024, the Ohio Department of Medicaid (ODM) identified several issues with the fee-for-service (FFS) prior authorization submission in the Provider Network Management module in conjunction with the Fiscal Intermediary. These issues made it difficult for providers to obtain an FFS prior authorization.
While ODM has resolved some of these issues, we understand work still needs to be done with the prior authorization submission process to resolve the problems fully. As a result, ODM is lifting the prior authorization requirements. This decision applies to claims that would require prior authorizations with service dates as of June 30, 2024. ODM and our vendor partners will correct the issues as quickly as possible. We will send a notice before reinstating the prior authorization requirement along with the timeframe for reinstatement.
If your service is custom and does not have a fee schedule price, contactthe ODM Integrated Helpdesk at 800-686-1516,option 1.
The Ohio Department of Medicaid is conducting a series of MyCare Ohio program community input sessions to hear about your experiences navigating the current MyCare Ohio program, other Fully Integrated Dual-Eligible Special Needs plan (FIDE-SNP) models, and the members you serve. If you currently provide services through MyCare Ohio or are interested in becoming a MyCare Ohio provider, please join us during one of our upcoming sessions.
To learn more about the MyCare Ohio program and community input sessions and view the schedule, please visit the MyCare Ohio program webpage.
Session Name
Date/time
Description
Registration link
MyCare Ohio program community input session - Eligibility providers
July 17, 2024
3 p.m. – 5 p.m. ET
Session for eligibility providers to share their thoughts on the current MyCare Ohio program.
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.