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Ohio is home to more than 200,000 active Medicaid providers. The partnership between Ohio Medicaid and its provider network is critical in ensuring reliable and timely care for beneficiaries across the state. Please use this page as a go-to resource for learning more about training, billing, rate-setting and additional areas of interest ...
Ohio Department of Medicaid | 50 West Town Street, Suite 400, Columbus, Ohio 43215. Consumer Hotline: 800-324-8680 | Provider Integrated Helpdesk: 800-686-1516
The changes we make will help you more easily access information, locate health care providers, and receive quality care. On February 1, 2023, Ohio Medicaid launched the new Electronic Data Interchange (EDI) and Fiscal Intermediary as part of our ongoing commitment to streamlining the provider administrative experience.
Verify coverage with Medicaid fee-for-service and managed care members. Patients must be enrolled in Ohio Medicaid either under the traditional fee for service option or enrolled with a Medicaid managed care plan to potentially be covered. The ODM has two sources for eligibility and enrollment. Information is available online through the ...
If you plan to bill Medicaid, the OhioRISE plan, or Medicaid managed care organizations for CANS assessments, you must be an enrolled Medicaid provider and add the “ORC – CANS Assessor” specialty to your enrollment.
Our web-based provider application is designed to walk you through the steps in order to submit all the information that the Ohio Medicaid program needs to enroll you as a new provider. How do I begin?
Do I submit my Social Security Number (SSN) or my Employer Identification Number (EIN)? Common Questions about Provider Enrollment.
Primary Phone Number. If you're a provider, call our Provider Hotline at 800-686-1516. If you're an Ohio Medicaid member, call our Consumer Hotline at 800-324-8680. Otherwise, follow the links below for additional resources, or complete the Contact Us Form and we'll get back to you.
The Ohio Department of Medicaid (ODM) is here to answer your questions and provide assistance. Since we last updated our Integrated Helpdesk (IHD) call center menu options, some providers are selecting the wrong prompt for assistance with their issue.
Provider billing and data exchange related instructions, policies, and resources.