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What to Expect with the February 1 Launch of Next Generation of Ohio Medicaid

Last Chance to Register for Jan. 19 Provider Webinar for the Latest


The Ohio Department of Medicaid's 1/13/2023 list-serve article on the Next Generation managed care program:

On February 1, our seven Next Generation managed care plans will begin serving members with an increased emphasis on personalized care. At the same time, ODM's new Electronic Data Interchange (EDI) and the Fiscal Intermediary (FI) will go live. 

What can providers expect on February 1? 

Of the February 1 launch, the new EDI and FI will impact providers the most. As we phase in these new system components, some of your day-to-day processes will change while some will remain the same. Read on to understand how you will be affected. 

Claims and prior authorization (PA) submitted through trading partner 

What is not changing February 1? 

Portal submitted claims and all prior authorizations 

What are the key changes on February 1? 

What is not changing February 1

How to stay informed 

ODM will continue to use the ODM Press to provide information about the upcoming implementation for providers. In the meantime, please reach out to the Next Generation mailbox with questions.


For additional information, be sure to participate in ODM's Next Generation one-hour webinar for providers on Thursday, Jan. 19. Click here to register.

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