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Important: Moratorium on Enrollment of Home Health and Hospice Providers

Effective May 14, 2026 through November 14, 2026: In accordance with CMS-6101-N and 42 CFR 455.470, the Ohio Department of Medicaid (ODM) is implementing a moratorium on the enrollment of Home Health and Hospice providers. During this period, ODM will not accept new Medicaid enrollment applications for Hospice or Home Health Agencies, Waiver Individuals and Organizations, Private Duty Nurses, Personal Care Aides and Home Care Attendants.  In accordance with OAC 5160-1-17.6(G)(28), any application for the following provider types submitted prior to May 14, 2026, but not yet processed by the Department will be denied.  Impacted applicants will receive notice of the application denial. Applicants are welcome to reapply if and when the moratorium is no longer in effect. Existing enrolled providers of these types may continue to operate however no new service locations will be added during this time. Demographic changes and revalidations will still be processed.

  • 16 – Other Accredited Home Health Agency
  • 25 – Non-Agency Personal Care Aide
  • 26 – Non-Agency Home Care Attendant
  • 38 – Private Duty Nurse (Registered Nurse and Licensed Practical Nurse)
  • 44 – Hospice
  • 45 – Waivered Services Organization
  • 55 – Waivered Services Individual
  • 60 – Medicare Certified Home Health Agency 

 

Enhancing Efficiency and Access with the PNM System

The Provider Network Management (PNM) system is the single source of truth for Ohio Medicaid provider data, supporting members, providers, and Managed Care Entities (MCEs) across the Next Generation Managed Care program.
 
To ensure data integrity and reduce downstream issues such as claim disruptions and inaccurate directories, providers are responsible for uploading and maintaining current, complete, and accurate information in the PNM. Providers must update changes timely and regularly review their data to keep information accurate. Details, resources, and support contacts are available in the full Provider Network Management Stakeholder memo.

 

 New Owner Information Update Option in PNM

Organizations that have multiple active Medicaid IDs under the same Tax ID can update owner information once and apply those changes to selected Medicaid IDs.  This streamlines the process and eliminates the need to re-enter the same ownership details multiple times.

Step-by-step instructions are available in the Updating or Adding Owner Information Quick Reference Guide (QRG) on the Learning tab in PNM.