04/24/2024

Compliance Reminder – Is Your Information Updated in Medicaid’s Provider Network Management Portal?

The Ohio Department of Medicaid sent out the following reminder to all practices this week.

The Ohio Department of Medicaid is required by federal and state statutes to administer and monitor the integrity of its program. Central to that effort is working with Medicaid providers to ensure all reporting and administrative requirements are met. It is through these required checkpoints that the state can ensure Ohioans covered by Medicaid are receiving care from qualified, credentialed providers.

Each month Ohio Medicaid conducts two comprehensive reviews of provider and provider organization records maintained in the Provider Network Management portal to verify.

• Organizational ownership and employee management records, including listed social security numbers. For guidance see: Owner_Managing Employee Update Instructions.docx.
  
  
• Status of professional licenses and accreditations. For guidance see: Updating or Adding Professional License Information - Medicaid Provider Network Management Module.pdf

Failure to maintain these records in keeping with Ohio Medicaid's monthly verification schedule can result in immediate enrollment termination.

This email serves as your monthly reminder to review and update these records in the Medicaid Provider Network Portal each month to maintain your enrollment as an Ohio Medicaid provider.

For more information:
Technical support is available if you have questions regarding what’s required, or to check the status of your records.

Contact Ohio Medicaid’s Integrated Helpdesk at 800-686-1516 and follow the prompts for provider enrollment (option two, option two) or email IHD@medicaid.ohio.gov. Representatives are available Monday-Friday, 8 a.m.-4:30 p.m. Eastern time.