Reminder: deadline to enroll "affiliate rendering practitioners" for Medicaid is Jan. 1 - not Jul. 1
Source: Ohio Medicaid, Behavioral Health Redesign Brief
Update on Rendering Practitioner Enrollment & Agency Affiliation
The Ohio Department of Medicaid has received a number of inquiries regarding the deadline for providers of community mental health and/or community substance use disorder services to enroll and affiliate rendering practitioners with their agency(ies). As a reminder, the implementation date for requiring rendering practitioners on Medicaid community behavioral health service claims is January 1, 2017 (not July 1, 2016).
Practitioners who must enroll with Ohio Medicaid:
- Physicians (MD/DO), Psychiatrists
- Licensed Independent Chemical Dependency Counselors
- Physician Assistants
- Licensed Professional Clinical Counselors
- Certified Nurse Practitioners
- Registered Nurses
- Clinical Nurse Specialists
- Licensed Practical Nurses
- Licensed Psychologists
- Licensed Independent Marriage and Family Therapists
- Licensed Independent Social Workers
Community behavioral health agencies must take two actions prior to January 1, 2017:
- Continue enrolling rendering practitioners in MITS and
- Affiliate those rendering practitioners with the employing agency.
MITS Technical Limitation: Agencies that have submitted their MITS revalidation request (Application Tracking Number [ATN] issued) cannot affiliate with their rendering practitioners until their revalidation is complete. However, a rendering practitioner can affiliate themselves with their employing agency regardless of its MITS revalidation status. Agencies providing community mental health and/or community substance use disorder services that are in the MITS revalidation process should work with their rendering practitioners to affiliate in MITS with their rendering practitioners.