Ohio Medicaid Provider Enrollment and Maintenance Blackout Dates
ODM Message Regarding Next Generation Managed Care Implementation
Important changes that may impact you as an Ohio Medicaid (ODM), Department of Developmental Disabilities (DODD), or Ohio Department of Aging (ODA) provider are coming, and we want to make sure you’re aware of them.
Beginning Aug. 1, the Ohio Department of Medicaid (ODM) will temporarily stop accepting provider enrollment applications as we transition to the new Provider Network Management (PNM) module. New providers should enroll by July 31 or plan to hold enrollment applications until Oct. 1. ODM can backdate enrollment after verifying the provider meets all eligibility criteria for the time period. Information about OhioRISE provider enrollment during this time is forthcoming.
If you are a provider who is not currently enrolled and wish to enroll to provide any services under the Next Generation of Ohio Medicaid, please visit the following link to the Ohio Medicaid online application by July 31: https://portal.ohmits.com/Public/Providers/Enrollment/tabId/49/Default.aspx
Beginning Aug. 31, all provider demographic and agent maintenance update functionality will be closed for conversion of data in MITS. Enrolled providers should update their demographic information in MITS by Aug. 30 or plan to hold updates until Oct. 1. Please visit the following link to the MITS Secure Portal Login: https://portal.ohmits.com/Public/MenuRedirect.aspx?Login%20Redirect
Please make sure to add or update all practice locations and provider affiliations in advance of data conversion.
On Oct. 1, provider enrollment and maintenance-related activities will resume and be accessed using PNM. For more information about PNM and trainings, please visit: https://managedcare.medicaid.ohio.gov/managed-care/centralized-credentialing
For more information visit:
Send questions to:
Ohio Medicaid Next Generation Program: ODMNextGen@medicaid.ohio.gov
PNM Module: PNMCommunications@medicaid.ohio.gov (for questions regarding our upcoming PNM Module)
Centralized Credentialing: Credentialing@medicaid.ohio.gov (for questions regarding our upcoming centralized credentialing program)
Information for DODD and ODA Certified Providers
DODD and ODA missions align closely with Medicaid priorities, allowing ODM to fund many of the services and supports you provide to Ohioans we serve. We’ve also been working together to simplify and streamline provider administrative responsibilities in anticipation of ODM’s launch of the next generation Ohio Medicaid program.
For providers certified by DODD, please click here to learn more and view important cut-off dates.
For more information visit: https://www.DODD.Ohio.Gov
Send questions regarding provider certification to:
DODD Waiver Providers: Provider.firstname.lastname@example.org
DODD Licensure Development: Licensuredevelopmentapps@dodd.ohio.gov
For providers certified by ODA, please click here to learn more.
For more information visit: https://www.aging.ohio.gov/certification-changes
Send ODA provider certification questions to: Provider_Inquiry@age.ohio.gov
Note: We realize that there may be emergencies that arise and will require urgent processing. We will work with providers on a case-by-case basis to address.