Complete Story


New effective date for Medicaid rendering provider and ordering practitioner enrollment

Beginning with dates of service on and after July 1, 2017, Ohio behavioral health providers must submit a rendering practitioner’s National Provider Identifier (NPI) on their Medicaid claims. The previous effective date of January 1, 2017 has been moved to July 1, 2017 in order to give provider agencies and Medicaid managed care plans more time to update and test their information technology systems and to allow more time for Ohio Medicaid to process individual behavioral health practitioner Medicaid enrollments. Because of this change, the requirement to include an ordering practitioner (MD, DO, CNP, CNS or PA) on all claims rendered by Registered Nurses or Licensed Practical Nurses is also moved to July 1, 2017.

Read full Medicaid Sept. 29 Provider Information Release




Printer-Friendly Version