To increase protection for the Provider Network Management (PNM) system and the State of Ohio’s data, starting May 4, 2025, signing into the PNM secure web portal will require Multi-Factor Authentication (MFA). MFA is a two-factor authentication process that takes user verification a step beyond the State of Ohio ID (OHID) and password. This is done by using a second source of validation to verify your identity before granting access to State resources.
We urge you to set up MFA prior to May 4, 2025 to ensure access to PNM is not interrupted. If you are an existing PNM portal user and already have MFA set up for the OHID used to sign into the PNM portal, no action is required. Here is a link to a user guide to assist you with setting up MFA. Please refer to the instructions starting on page 12 to set up your MFA.
If you need assistance setting up MFA, please contact the ODM Integrated Help Desk (IHD) at 800-686-1516 or email IHD@medicaid.ohio.gov.
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On January 1, 2026, the first phase of the Centers for Medicare & Medicaid (CMS) Interoperability and Prior Authorization final rule (CMS – 0057-F) will go into effect. This final rule will improve the electronic exchange of healthcare data and streamline processes related to prior authorization through new requirements.
We encourage you to learn more about what it means for patients, payers and providers here.
For a more comprehensive description of the CMS Interoperability and Prior Authorization Final Rule, visit the Federal Register.
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The Ohio Department of Medicaid (ODM) would like to share that our Next Generation MyCare program update webinar, originally scheduled for March 19 and March 20, has been rescheduled to the dates and times listed below.
This webinar intends to share more information about the Next Generation MyCare program and what it means for you. We are offering the same webinar twice. Please register for the time that works best for you.
Please note that if you previously registered for either of the originally scheduled March dates, you must re-register using the links below.
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Session Name
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Date/time
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Description
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Registration link
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Next Generation MyCare program update webinar
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April 7, 2025
2 p.m. - 3 p.m. ET
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Session to learn about the Next Generation MyCare program.
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Click here to register
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Next Generation MyCare program update webinar
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April 10, 2025
9 a.m. – 10 a.m. ET
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Session to learn about the Next Generation MyCare program.
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Click here to register
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ODM is committed to providing access, inclusion, and reasonable accommodation in its services, activities, programs, and employment opportunities in accordance with the Americans with Disabilities Act (ADA), Title VI of the Civil Rights Act, and other applicable laws. To request an interpreter, written information in a language other than English or in other formats such as large print, audio, and accessible electronic formats, or a reasonable accommodation due to a disability, please contact Ohio Medicaid’s Civil Rights/ADA Coordinator at 614-995-9981/TTY 711, fax 614-644-1434, or email: ODM_EEO_EmployeeRelations@medicaid.ohio.gov.
Requests should be made at least three business days prior to the scheduled event.
Unless Ohio Medicaid's Civil Rights/ADA Coordinator approved in advance, individuals may not record the meeting, nor may individuals utilize artificial intelligence technologies to transcribe meetings.
If you believe Ohio Medicaid has failed to provide these services or discriminated in another way, you can file a grievance with Ohio Medicaid’s Civil Rights Coordinator or file a civil rights complaint with the U.S. Department of Health and Human Services Office for Civil Rights, or both. Further information on these processes and Ohio Medicaid’s compliance with civil rights and other applicable laws can be found in our Notice of Nondiscrimination.
For more information, please visit the MyCare Ohio webpage on medicaid.ohio.gov.
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The Ohio Department of Medicaid (ODM) is pleased to announce improvements to the form required for requesting an Administrator change within the Provider Network Management (PNM) module, based on valuable user feedback. The updated form, ODM10304, has been developed to streamline the process and enhance security measures. Users can submit either the old or new form through April 1, but the updated form will be mandatory after this date.
For more information
For questions regarding this notice, contact Ohio Medicaid’s Integrated Helpdesk at 800-686-1516 and follow the prompts for Provider Enrollment (option 2, option 2) or email . Representatives are available Monday-Friday, 8 a.m.-4:30 p.m. Eastern time.
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