AmeriHealth Caritas Ohio

One of Ohio's seven Medicaid managed care plans.

Anthem Blue Cross and Blue Shield

One of Ohio's Medicaid managed care plans.

ARPA HCBS and Payment Dashboard

Information on American Rescue Plan Act related to Home and Community Based Services 

Basic Billing Information for DMEPOS Providers

Developed by ODM Provider Relations in 2021

Buckeye Health Plan

One of Ohio's seven Medicaid managed care plans.

CareSource

One of Ohio's seven Medicaid managed care plans.

Common Sense Initiative Office

Reviews regulatory impact on Ohio businesses

Comprehensive Payment Systems Error (CPSE) Report

Tracks "known" issues/defects in the Provider Network Management module, updated monthly.

COVID-19 PHE Unwinding

HCBS in Ohio: For Individuals and Providers

For home- and community-based services (HCBS).

Humana Healthy Horizons in Ohio

One of Ohio's seven Medicaid managed care plans.

ODM Integrated Helpdesk

For Next Generation issues - phone 800‐686‐1516; email: IHD@medicaid.ohio.gov

Joint Medicaid Oversight Committee

Provides oversight of all facets of the state's Medicaid program. 

Centralized Credentialing and PNM Module

Medicaid Forms and CMNs

Medicaid Managed Care Complaint Process

Provider Complaint Guidance and Form

Next Generation Medicaid Managed Care Program

Scheduled to launch on July 1, 2022

Medicaid Managed Care Provider Agreements

Agreements Listed Annually Since 2014

Medicaid Transmittal Letters (MTLs), Medicaid Handbook Transmittal Letters (MHTLs)

Medical Care Advisory Committee (MCAC)

MCAC advises Ohio Medicaid in the development and refining of the Medicaid program.

Molina Healthcare of Ohio

One of Ohio's seven Medicaid managed care plans.

MyCare Ohio

Medicare-Medicaid dual eligible program

Next Generation Provider Contracting Information

ODM Non-Institutional Policy Mailbox

Email for Non-Institutional policy questions in the Ohio Department of Medicaid, Bureau of Health Plan Policy

ODM Press

Reports on the progress of the ODM strategic initiatives for providers, associations and advocacy organizations

Ohio Administrative Code - DME Rules

Link to OAC 5160-10 - Ohio Department of Medicaid's DME section of administrative rules

Ohio Department of Medicaid

Home Page

Ohio Medicaid Consumer page

This site offers resources and information for individuals served by the Medicaid program.

Ohio Medicaid DMEPOS Fee Schedule

Includes a cross-referenced listing of items and OAC rules, a listing of PA assignment groups, and a table of "atypical" items (items that are covered infrequently or rarely). 

Ohio Medicaid Fiscal Intermediary

OhioRISE

Resilience Through Integrated Systems and Excellence

United Healthcare Community Plan

One of Ohio's seven Medicaid managed care plans.