Provider Education & Training Resources

RECENT PNM UPDATES (as of April 23, 2026)

• Agent Assignments & Actions
• Updating or Adding Owner Information - Quick Reference Guide
• Dental Claims - PNM User Guide
• Dental Claims - PNM Billing Guide
• Professional Claims - PNM User Guide
• Professional Claims - PNM Billing Guide
• Institutional Claims - PNM User Guide
• Institutional Claims - PNM Billing 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 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

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
• Provider Network Management Stakeholder Memo

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