Provider Education & Training Resources

• RECENT PNM UPDATES (as of March 4, 2026)

  •  Dental Claims - PNM User Guide
  • Provider Absorb LMS Training Sign Up (2026 Refresher)
  • MCO PNM Read-Only User Sign Up Guide (2026)
  • Medical Claim Review Request Form 6653
  • Power Agent Assignments & Actions QRG
  • Submitting Professional Crossover Claims for FQHC and RHC Cost Sharing Payments in PNM - Quick Reference Guide
  • Submitting Institutional Crossover Claims for FQHC and RHC Cost Sharing Payments in PNM - Claims Quick Reference Guide
  •  Professional Claims - PNM Web Portal Billing Guide
  • Comprehensive Primary Care (CPC)
  • Comprehensive Maternal Care (CMC)
  • Delegated Credentialing

  NEW! Power Agent Role & Enhanced Admin Features 

   
  • PNM Enhancements and Power Agent Role QRG
  • Administrator and Power Agent User Guide
  • Power Agent Assignments & Actions QRG
  • Bulk Agent Upload QRG
  • Global Admin Change QRG

  Frequently Asked Questions (FAQ)

  • PNM Frequently Asked Questions (FAQs June 30 2024)

  Dental Claims (Fee-for-Service)

  • Dental Claims - PNM User Guide
  • Dental Claims - PNM Billing Guide
  • Medical Claim Review Request Form 6653

  Professional Claims (Fee-for-Service)

  • Professional Claims - PNM User Guide
  • Professional Claims - PNM Web Portal Billing Guide
  • FQHC & RHC Professional Claim Submission for FFS Members - Quick Reference Guide
  • FQHC & RHC Professional Claim Submission for Wraparound Payments - Quick Reference Guide
  • Submitting Professional Crossover Claims for FQHC and RHC Cost Sharing Payments in PNM - Quick Reference Guide
  • Medical Claim Review Request Form 6653

  Institutional Claims (Fee-for-Service)

  • Institutional Claims - PNM User Guide
  • Institutional Claims - PNM Billing Guide
  • Submitting Institutional Crossover Claims for FQHC and RHC Cost Sharing Payments in PNM - Claims Quick Reference Guide
  • Medical Claim Review Request Form 6653

  Prior Authorizations (Fee-for-Service)

  • Prior Authorization - PNM User Guide
  • Prior Authorizations - PNM Billing Guide
  • FQHC Dental Prior Authorization Submission - Quick Reference Guide
  • Prior Authorization (PA) Reinstatement FAQs
  • Medical Claim Review Request Form 6653

  Provider Financial Document Access

  • Provider Financials - PNM User Guide

  Recipient Eligibility Lookup

  • Recipient Eligibility Lookup - PNM User Guide

  Hospice Recipient Enrollment

  • Hospice Recipient Enrollment - PNM User Guide

  Other

  • Fiscal Intermediary (FI) - Summary of Changes

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  PNM

  Frequently Asked Questions (FAQ)

  • PNM Frequently Asked Questions (FAQs June 30 2024)

  PNM Status Definitions

  • PNM Statuses

  User Guides (listed by Provider Category)

  • Behavioral Health Individual Practitioners
  • Behavioral Health Organizations
  • Change of Operator (CHOP)
  • Comprehensive Maternal Care (CMC)
  • Comprehensive Primary Care (CPC)
  • Delegated Credentialing
  • DODD Waiver and Non-Medicaid
  • Group-Organization-Pharmacy
  • Individual Practitioners
  • Long Term Care Facility
  • ODA Waiver
  • OhioRISE
  • Submitting a Plan of Correction (POC) User Guide

• Quick Reference Guides

  Logging into PNM and Enrolling with ODM, ODA, or DODD

  • Creating OH ID for IOP PNM Login
  • Multifactor Authentication (MFA) 2-Step Verification - Job Aid
  • General Application
  • PNM Login/Access
  • Identifying Your Role Within PNM

  • New Users (never been a provider with ODM, ODA, or DODD)

    • DODD New Provider Application
    • ODA New Provider Application
    • New Provider Application
    • New Provider Application Type 19

  Existing Medicaid Records

  Power Agent

  • Bulk Agent Upload
  • Global Admin Change
  • Power Agent Assignment & Actions

  Account Administration

  • Agent Assignment & Actions
  • Changing Provider Administrators
  • Cost Report Management Agent Role - Assigning Agents
  • Provider Homepage

  Behavioral Health

  • Behavioral Health - Adding Specialties and Changing Provider Types

  Reapplication

  • Reapplication (Enrollment Terminated)

  Revalidation

  • Revalidation

  Self-Service Functions

  • Accessing the 1099 Information
  • Accessing Remittance Advice
  • Provider Correspondence/Communications

  Updating Provider Information

  • Adding a Hospital Affiliation
  • Adding an Individual Provider to a Group-Organization
  • Affiliations
  • Adding/Updating Electronic Funds Transfer (EFT) Baking Information
  • Converting ORP to Standard (FFS)
  • Disenrolling a Provider from Ohio Medicaid
  • Edit Key Provider Identifiers
  • EVV Training
  • Provider Directory Opt-In or Opt-Out
  • QRG - Submitting a Plan of Correction (POC)
  • Submitting a Plan of Correction (POC) User Guide
  • Updating a Provider File (Overview)
  • Updating or Adding Owner Information
  • Updating or Adding Practice Locations
  • Updating or Adding Professional License Information
  • Updating or Adding a Specialty
  • Uploading Documents
  • Uploading Documents to Existing Claim or Prior Authorization

  Other Functions

  • Accessing DODD and ODA Waiver Information (Read Only role)
  • Accessing Recipient Eligibility (Recipient Eligibility role)
  • Provider Directory
  • Provider Public Search
  • Ordering Referring and Prescribing Search

  • Cost Reports and Rate Setting

    • OMES Cost Report and Rate Setting Web Portal FQHC_RHC Training Slide Deck
    • OMES Cost Report and Rate Setting Web Portal Hospital Training Slide Deck
    • OMES Cost Report and Rate Setting Web Portal LTC Training Slide Deck
    • OMES Cost Report and Rate Setting Web Portal MSP Training Slide Deck

    Managed Care Plans

    • MCPN Error Processing User Guide
    • Accessing Managed Care Network Adequacy Reports

For questions related to training materials, please contact the Maximus Training Team at ohiotrainingteam@maximus.com