The Ohio Department of Medicaid (ODM) would like to remind you of the correct procedure for completing searches for fee-for-service (FFS) prior authorizations and how to address common user errors in the Provider Network Management (PNM) module. This process does not apply to managed care prior authorization searches, which are submitted directly to the managed care entities.

How do I search for FFS prior authorization submissions in the PNM module?

Follow the steps outlined in the detailed Prior Authorization Search & Submission PNM User Guide to assist you through this process.

What steps can I take if I am unable to find FFS prior authorization submission?

If you do not see the expected FFS prior authorization in your search results, ODM recommends checking the following items:

• Verify that you have the correct PNM module user role assigned for the Medicaid Provider ID of the requesting provider in the PNM module. Only users with a Provider Administrator or Provider Agent for the requesting provider can search for the prior authorization.
• Verify that you are using the Medicaid ID number for the Requesting Provider. The Requesting Provider is the Provider Medicaid ID under which the user submitted the prior authorization and may or may be the Servicing/Rendering Provider.
• Check that the Provider Medicaid ID used in the search is correct. You can see this information at the top of the Prior Authorization Search window in the PNM module. Refer to the highlighted in the image below for an example.

The 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 November 12-22, 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 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 Role (including change of Provider Administrator process)
• Provider Agent Role
• New Medicaid Enrollments (First-time applications entered by the Administrator)
• Updating/Changing to Medicaid Enrollment Information
• Medicaid Enrollment Revalidations
• Entering and Searching for Dental Claims
• Entering and Searching for Institutional Claims
• Entering and Searching for Professional Claims

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.