Dear Provider,
We would like to inform you of upcoming updates to Ohio Medicaid’s fraud prevention requirements. Following Governor DeWine’s recent announcement outlining new statewide Medicaid fraud prevention initiatives, these changes reflect the state’s ongoing commitment to protecting members, ensuring the appropriate delivery of services, and safeguarding taxpayer resources. As these updates take effect, we want to provide clarity on what to expect and how they may impact your operations.
What You Need to Know
Temporary pause on new enrollment: Ohio plans to pause new enrollment for home health and hospice providers for six months while existing providers undergo a program integrity review. Provider types impacted:
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16 - other accredited Home Health Agency
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25 - Personal care
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26 - Home care attendants
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38 - Non-agency nurse all specialties
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44 - Hospice
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45 - Waiver organizations
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55 -Waiver individual provider
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60 - Medicare Certified Home Health
We are working with The Centers for Medicare & Medicaid Services (CMS) to swiftly revalidate high risk providers.
These updates are designed to strengthen oversight, enhance accountability, and ensure Medicaid services are delivered correctly and responsibly.
Where to Go for Help
Provider Hotline Ohio Medicaid Provider Service Center
1‑800‑686‑1516
(Monday–Friday, 8 a.m.–4:30 p.m.)
EVV Help Desk
Phone: 1‑855‑805‑3505
Email: ODMCustomerCareEmail@Sandata.com
Provider Enrollment & Revalidation Support
ohohid.ohio.gov (For questions about account access or enrollment status)
How to Stay Prepared
We know home-and-community-based care is an important piece of the lives of thousands of Ohioans. The Ohio Departments of Medicaid, Aging, and Developmental Disabilities are working together to ensure care is provided to our most vulnerable populations, while also protecting taxpayer dollars.
If you have concerns about revalidation, EVV tools, or billing practices, please don’t hesitate to reach out—we’re here to help. Our goal is to ensure you’re well-supported and fully informed every step of the way.
Thank you for your continued commitment to providing exceptional care. Your partnership is essential to delivering quality services to Ohio Medicaid members. Updated information will be posted on the Ohio Medicaid website.
