Latest News

September 5, 2019 - ICD-10 Update - January 1, 2019 Implementation Date - Requirement for All Atypical / Non-Diagnosing Providers to Report ICD-10 on Claims

Revised MAL 626-A and the FAQ for the requirement that all non-diagnosing providers report diagnosis codes on claims starting January 1, 2020 has been posted to ODM’s MAL webpage.


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August 1, 2019 - October 1, 2019 - Ohio Medicaid Requirement for Non-Diagnosing Providers to Report Diagnosis Codes on All Claims

As of October 1, 2019, all Ohio Medicaid claims and all adjustments submitted for previous paid claims, regardless of date of service, must include a valid diagnosis code to be accepted for processing. Providers that know the appropriate diagnosis code must enter it. Questions about which diagnoses to report should be directed to the ordering/referring/prescribing provider associated with a claim.


Read More Ohio HCBS News.

July 24, 2019 - PowerPoint training about three new waiver services

A PowerPoint training from June is now available regarding the three new waiver services. Please see the attached document for more information on three new OHCW services.


Read More Ohio HCBS News.

June 7, 2019 - EVV will be mandatory for Phase 2 services on August 5, 2019

We are partnering with the Ohio Department of Medicaid (ODM) to get the word out about EVV and the training that you are required to take. If you are a new EVV user, you must complete the training before you can access the EVV system. You can begin using the system as soon as the training is complete so you can become familiar with it before August 5, 2019.


Read More Ohio HCBS News.

Ordering, Referring, Prescribing (ORP) Requirements:

For more information visit the ODM ORP Web page here.


Changes to the Transitions Carve Out Waiver

Beginning February 1, 2015 and ending no later than June 30, 2015; Individuals enrolled on the Transitions Carve Out Waiver will be moving over to the Passport/Choices waivers. Providers who serve these individuals will need go through the Ohio Department of Aging (ODA) certification process. Please go to the following website with questions about ODA certification:


Additional information and answers related to the Transitions Carve Out Waiver changes, click here.


In-Person Training for Home and Community Based Waiver Providers

Public Consulting Group (PCG), on behalf of the Ohio Department of Medicaid, conducts in-person trainings around the State. The locations rotate month to month, so if any of the current trainings being offered are not near you, please check back as PCG will be adding new locations every couple of months. This training is not mandatory but it is recommended. The training is a high level overview of several Ohio Administrative Codes that govern the Waiver program. Topics include: Criminal Record Background Checks, Provider Conditions of Participation, Provider-Type-Specific Requirements, Developing Clinical Records, Provider Billing, Structural Reviews, and Incident Management & Reporting. So, whether you’re new to the Ohio Home Care Waiver program, or simply looking to refresh your knowledge, this is training is for you!


Public Consulting Group, on behalf of the Ohio Department of Medicaid, will be conducting three trainings around the state.


*Registration is required. See below for details:


Location: Columbus Public Library-Main Branch
Address: 96 South Grant Avenue, Columbus, Ohio 43215
Date: Monday, October 21, 2019
Time: 2:00 pm- 4:00 pm

Room: Auditorium

To register, please click here


Presenters will be staying after the training to answer specific provider questions. For questions, please call 1-877-908-1746.


**Continuing Education Credits Offered


PCG is an approved provider for Social Work CE credit by the State of Ohio Counselor, Social Worker, and Marriage and Family Therapist (CSWMFT) Board. Provider #RSX071403. The Ohio Board of Nursing recognizes the State of Ohio CSWMFT Board as an approved provider of CNE for multi-disciplinary activities. Attendees must sign in on time and remain for the entire session to receive a certificate of attendance. This program is approved for 2 CEs per the CSWMFT Board.


Home Health Aides will also receive 2 hours of continuing education towards the 12 hours required each year.


Online Mandatory Provider Training

This notice is to inform all providers of services to individuals on an Ohio Department of Medicaid (ODM) home and community-based services waiver of mandatory training on incident management. An "incident" is an alleged, suspected or actual event that is not consistent with the routine care of, and/or service delivery to, an individual enrolled on an ODM waiver.


To complete this requirement, providers have the option to view the training at: Agencies also may choose to train their employees in a different manner. Regardless of how providers complete this training, they must document in writing that they have reviewed the rule.


In addition, upon entering into a Medicaid provider agreement, and annually thereafter, all providers must acknowledge in writing they have reviewed Ohio Administrative Code Rule 5160-45-05 Ohio department of Medicaid (ODM)-administered waiver program: incident management system, which can be found at


Questions may be directed to ODM's contracted Provider Oversight Contractor, Public Consulting Group (PCG) at 1-877-908-1746


Public Consulting Group (PCG) and its PCG division have partnered with the Ohio Department of Medicaid (ODM) to provide Provider Oversight and Incident Management for its Home and Community-Based Services Waiver programs, the Ohio Home Care Waiver. PCG enrolls waiver providers, conducts provider oversight as well as incident investigations in coordination with providers, case management agencies, local agencies, and the many state sister agencies of ODM.  


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Contact Us

For more information about Public Consulting Group and how we can assist you in delivering or receiving Home and Community Based Waiver Services, please contact us at the following:

Public Consulting Group
Provider Oversight
Ohio HCBS Waivers

155 East Broad Street 8th Floor Columbus, OH 43215
Phone: 877-908-1746
Fax: 614-386-1344