08/02/2023

Ohio Medicaid Publishes Claim Submission and Adjudication FAQs

Source: ODM Press 7/28/2023

The Ohio Department of Medicaid (ODM) updated the Claims and Prior Authorization Submission Frequently Asked Questions (FAQ) to make it easier for you to find the information you need. It covers fee-for-service, managed care, and OhioRISE billing procedures, adjudication processes, and other answers to common provider questions.

Review this document on the submitting claims and prior authorizations page on the Next Generation website and share it within your practice or organization. 

For additional questions, providers can contact the ODM Integrated Helpdesk (IHD) at 800-686-1516 or IHD@medicaid.ohio.gov. Representatives are available 8 a.m.-4:30 p.m. Eastern time Monday - Friday.