September 22, 2022
10:00AM - 11:30AM
OAMES Fall Medicaid Webinar
In Collaboration with Ohio Department of Medicaid
OAMES will be hosting its annual fall Medicaid Webinar on Thursday, September 22, at 10-11:30 am Eastern.
The agenda includes:
- Update on HME rules by Mark Rogers with the Non-Institutional Policy Section at the Ohio Department of Medicaid;
- Presentation on ODM's Next Generation managed care program by Jim Tassie, ODM Deputy Director.
The homepage of the Next Generation program has an updated timeline based on the 4th quarter launch previously announced by ODM:
Stage 1: On July 1, 2022, OhioRISE started providing specialized services, which will help children and youth with behavioral health needs and help coordinate care for those who receive care across multiple systems.
Stage 2: On October 1, 2022, Centralized Provider Credentialing will begin which will reduce administrative burden on providers. Also, the Single Pharmacy Benefit Manager (SPBM) will begin providing pharmacy services across all managed care plans and members.
Stage 3: On December 1, 2022, the implementation of the Next Generation managed care plans will occur. Members will experience benefits that help address their individual health care needs such as increased access to care coordination and care management supports. Also in stage three, ODM will implement additional improvements to streamline the process of claims and prior authorization submission for providers.