News for Ohio Medicaid Providers

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ODM Press

August 2, 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:


Register Now for Provider Network Management Module Refresher Training

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The Ohio Department of Medicaid (ODM), 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 August 7 - 21, and the training schedule is available on the PNM and Centralized Credentialing page. Below, you will find instructions on how to register and a list of topics covered in each session.

Registration steps for enrolling through the learning management system

Access the Absorb, Maximus's 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 Role (Application)
  • Provider Agent Role
  • Individual Practitioner Updates & Revalidations
  • Group/Organization Updates & Revalidations
  • Managing and Updating Affiliations
  • Behavioral Health Provider Updates & Specialty Changes
  • Behavioral Health Provider Type Changes
  • Fee-for-Service Claim Search & Submission
  • Fee-for-Service Prior Authorization Search & Submission

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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Next Generation MyCare Request for Applications to Close Next Week

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In May, we announced the release of the Next Generation MyCare Request for Applications (RFA). This RFA is for managed care entities interested in becoming Next Generation MyCare managed care plans for Ohioans who are dually eligible for Medicaid and Medicare. The selected plans will be an essential piece in improving the health and lives of Ohioans.

This RFA remains open until Wednesday, August 7 at 4 p.m. ET, and we encourage all eligible managed care entities to apply. All potential applicants were required to notify ODM of their intent to submit a response by June 26 at 4 p.m. ET. Managed care applicants who notified ODM of their intent to submit by June 26 deadline are currently eligible to apply. Further details are noted in the RFA.

Like any procurement of this size, this procurement has significant guardrails regarding communications about the procurement and the program.

ODM must adhere to federal and state procurement requirements and appropriate safeguards to ensure a fair process and reduce the risk of post-award challenges. As a result, ODM cannot:

  • Share details related to RFA content, release certain dates, timelines, responses received, and/or award prior to official public announcements.
  • Communicate design discussions and decisions related to the MyCare structure beyond what is stated in the RFA.

At this point in time, ODM is in the "quiet period" for the Next Generation MyCare procurement, which dramatically limits the information available to share on an individual basis. All information ODM releases regarding the Next Generation MyCare procurement must be at equal opportunity of access for potential bidders, preventing any compromise of the procurement.

It is ODM’s commitment to remain as communicative and transparent as possible through the remainder of the procurement process, while still maintaining the integrity of the Next Generation MyCare procurement. ODM will not be able to answer questions from members of the public or potential bidders regarding the Next Generation MyCare program, but general updates and announcements will be posted onthe MyCare Ohio webpage on Medicaid.ohio.gov.

Resources on procurement regulations can be found in the State of Ohio Procurement Manual.

For additional information about the RFA or procurement process, visit the MyCare Ohio webpage of medicaid.ohio.gov.

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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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