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Latest News

 New! Form 6653 Submission Instructions

The Form 6653 process is now live. Here’s what you need to know to submit it correctly the first time.  If you’re submitting EDI claims, make sure you populate the PWK segment with value B4 when using the Form 6653 process.

If you’re submitting Portal claims, simply attach the completed Form 6653 to your claim and select “Form 6653” from the document type dropdown.

Following these steps will help avoid delays and keep your claims moving.

 

Register Now for Provider Network Management Module Refresher Training

The Ohio Department of Medicaid (ODM), in partnership with Maximus, the Provider Network Management (PNM) module vendor, is excited to share that we are continuing our provider awareness and training efforts. Provider Refresher Training is scheduled for February 17 - 27. 

Access the Absorb learning management system to register for the training. If you do not have an Absorb account, you must create one to access all training sessions, answer forms, and view various PNM module resources. For help, please see our job aid and follow the steps to create your account and/or register for training.

If you are experiencing technical issues accessing the PNM module or have specific questions, please contact the ODM Integrated Helpdesk at 800-686-1516 from 8 a.m.-4:30 p.m. Monday-Friday, Eastern time.  You can also email your questions to IHD@medicaid.ohio.gov.

 

Next Generation MyCare 277CA, 835ERA, and Member Eligibility Look Up 

The Next Generation MyCare plans have resolved issues that were impacting the delivery of outbound documents, including all 277 Claims Acknowledgement (CA) and 835 Electronic Remittance Advice (ERA) files. CareSource has also resolved issues related to the ability to deliver outbound Managed Care 835ERA forms. If you are still seeing delays in delivery of 277CAs or 835ERAs, contact the Ohio Department of Medicaid (ODM) Integrated HelpDesk at 800-686-1516.
 
 ODM is aware of issues with real time eligibility look up via the Next Generation MyCare plans 270/271. Once this issue is resolved, member eligibility look up can resume via normal processes. In the meantime, providers can look up member eligibility via Provider Network Management (PNM) or the fee-for-service 270/271 process.

 

Integrated Helpdesk Support Hours

For technical support or assistance, contact the IHD at 800-686-1516 or IHD@medicaid.ohio.gov. Representatives are available 8 a.m.-4:30 p.m. (EST) Monday-Friday.

Additionally, the Interactive Voice Response System (IVR) provides 24/7 access to information regarding client eligibility, claim and payment status, and provider information.