October 31, 2017 - Be heard: Complete the Statewide Needs Assessment Survey

The Ohio Department of Aging is conducting the 2017 Statewide Needs Assessment Survey to collect Ohioans' opinions and better understand what matters most to our residents. Perspectives shared through the survey will be combined and put to immediate use as we draft Ohio's 2019-2022 State Plan on Aging. The four-year State Plan will guide the programs and services for Ohio's older adults.

 

The survey allows you to respond anonymously. It consists of easy-to-answer multiple-choice questions and should take about 15 minutes to complete. Topics that are included in the survey are:

  • Health, Wellness, and Prevention: Physical activity, nutrition and food assistance, oral health, vision health, hearing, tobacco use, falls
  • Volunteerism: Volunteering status and information
  • Caregiver Support: Caregiver status, time commitment, reason for being a caregiver
  • Independent Living: Transportation and mobility, assistance with in-home needs, emergency preparedness, best practices for communicating with older adults, isolation, elder abuse, physical environment
  • Community: Rural or urban, importance of aging in place
  • Demographics: County, age, race, gender, income level, education level, employment status

Click here to take the Statewide Needs Assessment Survey online.

 

Or, download a printable survey to complete and mail in.

 

Because survey responses are anonymous, you must complete your survey in one visit. Your responses will be lost if you close your browser window before completing the survey. Clicking "done" at the end of the survey means that your responses will be successfully saved and recorded in the survey tool. If you accidentally close your window before completing the survey, please start a new survey.

 

The survey closes on Nov. 30, 2017.

 

We value your perspective and greatly appreciate your participation in this important survey effort.

 

October 3, 2017 - It is time to register for Electronic Visit Verification (EVV) training

It is time to register for Electronic Visit Verification (EVV) training. At least one representative of your agency must complete all required training to receive your login credentials to the Sandata system. You will need credentials to input your Direct Care Workers’ and individuals’ data into the system. If your agency operates with multiple provider numbers, you must satisfy training requirements for each provider number. The information below will help you select the training option that best meets your needs. Registration will open for all courses on October 2.
 
ODM and Sandata are using a “Train the Trainer” approach. One or two individuals from each agency must attend training. Those users can train other agency staff using recorded webinars or the online library of role-based training modules as aids. At least one of the agency employees who participates in training should be an EVV system administrator.  We strongly recommend the classroom training or instructor-led webinars for individuals with this role in your agency.
 
The training options available are:
 
Instructor-Led Classroom Training:  This is an in-depth, hands-on overview of the ODM EVV program and an in-depth walk-through of the Sandata EVV system, including features, usage, reporting and support. Classroom training is in a computer lab setting where each participant has a dedicated computer. Classroom sessions can accommodate up to 25 participants per session. There is a limited number of Instructor-led classes. Register as early as possible to ensure the location and date you prefer.
Duration:  Approximately 6 hours.
Participation:  Each Medicaid Provider ID can send a total of two people to instructor led classroom training and instructor led webinar training combined.
Please note:  Training is restricted to agency staff.
Registration Link:  https://www.sandatalearn.com?KeyName=ODMEVVAgencyTraining
 
Instructor-Led Web-Based Training:  Also known as webinars, these sessions cover the same content delivered in the classroom training, but in three, two-hour sessions. Participants attend from a remote location, using their own computer with internet access. Webinars can accommodate up to 75 attendees per session.
Duration:  Three, two-hour sessions.
Participation:  Each Medicaid Provider ID can send a total of two people to instructor led classroom training and instructor led webinar training combined.
Please note: You will need to schedule each session separately.
Registration Link:  https://www.sandatalearn.com?KeyName=ODMEVVAgencyTraining
 
Independent Web-Based Training:  This online, self-paced training method allows participants to access online, role-specific training materials independently. The materials are available 24-hours a day, seven days a week for the life of the program. This option may be more convenient for providers with busy schedules. Independent Web-based Training can be a great resource as a training refresher or a way to train new providers. While training is available for registration on October 2, webinars will not be available for access until November 15.
Duration:  Self-paced.
Participation:  There is no limit on the number of agency employees that can participate in web-based training.
Registration Link:  https://www.sandatalearn.com?KeyName=ODMEVVAgencyTraining

Aggregator Training:  If you have your own EVV system and have been approved by ODM by November 8, 2017, you will only need to attend Aggregator training. Aggregator training is approximately 30 minutes and will cover how to access the Aggregator and how to view and run reports on your EVV data. Duration:  Self-paced.
Participation:  Restricted to agency providers using an ODM approved alternate EVV system. Registration Link:  https://www.sandatalearn.com?KeyName=ODMAltEVVAgencyTraining
 
After you complete training, you will receive your welcome kit. For more information and instructions on how to use the training registration tool, please visit the ODM web page. If you have any questions about training registration, please call Sandata’s EVV Provider Hotline at 1-855-805-3505.

 

June 20, 2017 - Mandatory Training on Medicaid’s New Electronic Visit Verification (EVV) System Slated for Fall 2017

The Ohio Department of Medicaid (ODM) will begin using Electronic Visit Verification (EVV) for many home and community-based services in early 2018. EVV is an electronic system that verifies provider visits and documents the precise time services begin and end. It ensures that individuals receive their medically necessary services.


Services to be included in EVV are State Plan Home Health Aide, State Plan Home Health Nursing, Private Duty Nursing (PDN), Ohio Home Care Waiver Nursing, Ohio Home Care Waiver Personal Care Aide, Ohio Home Care Waiver Home Care Attendant, and State Plan RN Assessment. Ohio Medicaid will incorporate services provided by managed care, MyCare, and Passport into EVV at a later date.


ODM will require agency and non-agency providers to complete a training course in late 2017. Sandata, ODM’s contractor, will provide in-person training at various locations around the state. In addition, webinar training and self-paced on-line training will be available for providers. ODM will send providers details about training and registration soon.


Please click here for more information about EVV. Details about the upcoming, mandatory training will be posted here as well.

 

December 15, 2016 - Electronic Visit Verification (EVV)

The Ohio Department of Medicaid will begin using an Electronic Visit Verification (EVV) system for many home and community-based services in late 2017. EVV is an electronic system that verifies when provider visits occur and documents the precise time services begin and end. It ensures that individuals receive their medically necessary services.

 

Services to be included in the EVV are State Plan Home Health Aide, State Plan Home Health Nursing, Private Duty Nursing (PDN), Ohio Home Care Waiver Nursing, Ohio Home Care Waiver Personal Care Aide, Home Care Attendant, and RN Assessment.

 

Please click here to learn what EVV means for agency and non-agency providers, as well as for more and ongoing information about Ohio’s future EVV system.

 

Ohio Department of Medicaid Initiates Electronic Visit Verification

Click here for the link.

 

June 3, 2016 - Revalidation of Medicaid provider agreements is underway

Current providers must revalidate their Medicaid provider agreements by the revalidation due date to maintain an active provider agreement. For more information or to find out your revalidation due date please click here.

 

March 17, 2016 - January Provider Trainings Q&A

Maple Heights 1/7/2016

  • Q: How can an independent aide could become an out of home respite provider?
  • A: Out of home respite services are delivered in facilities and cannot be delivered in the aide’s home.

Columbus 1/11/2016

 

Providers requested more notice for the trainings.

  • A: These provider trainings are scheduled at least 3 months in advance. There was a notification “blitz” for the January trainings within a week of the trainings. The list of our quarterly trainings is posted on this PCG website.

Home Delivered Meals (HDM)

  • Q: Do HDM providers need to send in their employees fingerprint results?
  • A: HDM providers do not need to send in employee background check results. Providers to keep the results on file. (5160-45-07(I))
  • Q: Are the kitchen staff also required to have the fingerprints?
  • A: No, per the Ohio Revised Code, 173.38 Criminal records check. (A) As used in this section: (1) "Applicant" means a person who is under final consideration for employment with a responsible party in a full-time, part-time, or temporary direct-care position or is referred to a responsible party by an employment service for such a position. "Applicant" does not include a person being considered for a direct-care position as a volunteer. (7) (a) "Direct-care position" means an employment position in which an employee has either or both of the following: (i) In-person contact with one or more consumers; (ii) Access to one or more consumers' personal property or records.

Will PCG come to agencies to provide this education?

  • A: PCG will continue to provide this in-person training quarterly around the state of Ohio. PCG will not be completing individual provider agency trainings.

Providers would like more information for Home Modifications, Vehicle Modifications, or Transportation related subjects.

  • A: The current training provides the following information that applies to all provider types: The Conditions of Participation, Criminal Records check, Person Centered Service Plans, Provider requirements, and creating your clinical record.

Cincinnati 1/14/2016

Several concerns about not receiving Person Centered Service Plans (PCSP) from the Case Managers.

  • A: Document due diligence of the provider’s attempts to obtain the PCSP from the CM, contacting the CM’s Supervisor, and the Clinical Manager if needed.

Akron 1/22/2016

Verbal orders

Reminders that nurses must document the time the order was taken along with the dated signature of the nurse. (See 5160-46-04(A)(6)(f))

Reminders that with the verbal order the service can be provided, but cannot be billed until the physician’s signature is obtained. (See 5160-46-04(A)(4)(g)

  • Q: Does the Ohio Department of Medicaid & the Ohio Board of Nursing coordinate in their rules since LPNs & RNs are required to know both rules?
  • A: No, each entity has their own sets of rules.
  • Q: How do you obtain an updated PCSP when the CM changes?
  • A: The PCSP will continue to be delivered through your MyOhio portal.
  • Q: Is a physician’s order valid if the individual receives it via e-mail?
  • A: There is nothing in rule stating this method is not valid.
  • Q: Emergency room or Urgent Care visit, new orders are received, can the nurse follow the new orders?
  • A: Nurses shall continue to provide services off of the current plan of care as well as the signed discharge orders. The new orders may need to be incorporated into the current plan of care.

Questions that were in all the trainings:

Mandatory annual Incident Management training online.

  • Q: Agency providers asked how they will complete this education with their employees.
  • A: Providers may watch the online training view the website or may complete the training in another manner.
  • Q: How do agencies document the completion of this training since on-line you enter your provider #?
  • A: When a provider is signing into the training, there is a box available to enter individual employee names. If the agencies choose not to utilize the online training, they must document having the employees acknowledge in writing that they have reviewed the rule.

Notifying the Case Management Agency immediately and within 24 hours

Rule 5160-45-10(B)(5) Work with the individual and case manager to coordinate service delivery, including, but not limited to: (c) Contacting the individual and the case manager in the event the provider is unable to render services on the appointed date and time.

(i) In the case of an emergency or unplanned absence, the provider shall immediately activate the back-up plan as set forth in the individual's approved all services plan, and contact the individual and case manager and verify their receipt of information about the absence.

  • Q: How can a provider “verify” the receipt of a message to the Case Manager when calls are not returned or responses received to e-mails?
  • A: During business hours, ask to speak to the Case Manager’s Supervisor, and continue up the chain of command.
  • A: After normal business hours providers should contact the on-call Case Management Agency number.
  • A: It is recommended to document any one you talked to with a date and time and also follow up in writing with either the person you talked to and/or the case manager.

For rule 5160(B)(13)- To the extent not otherwise required by rule 5160-45-05 of the Administrative Code, notify ODM or its designee within twenty-four hours when the provider is aware of issues that may affect the individual and/or provider's ability to render services as directed in the individual's all services plan.

  • Q: Is verification is required for the 24 hour notification?
  • A: Best practice would be to speak to a live person.
  • A: The rule does not state verification of the receipt of your notification however, if the CM does not receive the message within 24 hours, then you run the risk of being out of compliance.
  • A: It is recommended to document any one you talked to with a date and time and also follow up in writing with either the person you talked to and/or the case manager.
  • Q: Is a delivery or read receipt accepted for notifications that are required in 24 hours?
  • A: Yes, a read receipt is acceptable for the 24 hour notifications. This method has the risk of the Case Manager NOT opening the e-mail within 24 hours. If the e-mail is not opened, then the provider could be out of compliance.

New providers asking how to find individuals that are on the waiver programs, both nurses & aides.

  • A: Please note that the provider enrollment rule (OAC 5160-45-04) effective on May 1, 2016. The rule will no longer require that an individual has requested the services of the provider applicant. PCG, however, will continue to verify the proof of training which will still be required by OAC 5160-46-04.

Providers wanting to know what they can do about the issues with MyCare? Providers report varied responses from each managed care company.

Program training evaluations have included interest in “more billing” information.

February 23, 2016 - Informational Notice for Ohio HCBS

This is an informational notice that was communicated to with various provider associations (Home and Community Based Service waiver, Hospitals, Nursing Facilities, Large Provider Group) and interested parties at the Managed Care Companies. This document serves as a "heads-up" to providers and providers should be looking for their revalidation notices in the mail. Revalidation notices will be mailed by March 31, 2016. There is an 800 in the attachment for providers to call for questions. Please click here for the full notice.

 

February 2, 2016 - Public Notice for Ohio Waivers

Public notices have been posted regarding waiver amendments, renewal and conversion from a 209(b) state to a section 1634 state at: http://medicaid.ohio.gov/RESOURCES/PublicNotices.aspx

 

The public comment period will be from 2/1/16 until 3/2/16.

 

The public notices include:

  • Integrated Care Delivery System Waiver (MyCare Ohio) Amendment and Conversion from a 209(b) State to a Section 1634 State
  • Ohio Home Care Waiver Renewal and Conversion from a 209(b) State to a Section 1634 State
  • Individual Options Waiver Amendment
  • Transitions DD Waiver Amendment
  • Level One Waiver Renewal
  • SELF Waiver Amendment
  • Assisted Living Waiver Amendment
  • PASSPORT Waiver Amendment

January 11, 2016 - Ohio Independent Providers and Overtime Payments Update

Beginning on January 1, 2016, Independent Providers may qualify for overtime payments for providing the following services:

  • OHC and Transitions DD Waiver Personal Care Services
  • OHC Waiver and Transitions DD RN Services
  • OHC Waiver and Transitions DD LPN Services
  • OHC Waiver Home Care Attendant Services
  • State Plan Private Duty Nursing

To see the rates and learn more about overtime payments please visit this link. For questions, please call the Provider Relations Line at 1 (800) 686-1516.

 

December 14, 2015 - Ohio Independent Providers and Overtime Payments

Important information regarding Ohio Independent Providers and Overtime Payments, please click here.

 

December 2, 2015 - Sanofi US Recalls All Auvi-Q Epinephrine Injection

A statement has been released acknowledging that "Sanofi US is voluntarily recalling all of its epinephrine injection (Auvi-Q) on the market because patients taking it for life-threatening anaphylaxis may receive an inaccurate and inadequate dose..."

 

The entire statement can be found here.

 

October 21, 2015 - Opportunities for Public Comment

The Ohio Department of Medicaid has released opportunities to comment on the Draft Home and Community-Based Services (HCBS) Statewide Transition Plan and a proposed amendment to the Ohio Home Care Waiver. In addition, the Ohio Department of Aging has released proposed amendments to the PASSPORT Waiver and Assisted Living Waiver.

 

The state is accepting public comments on the transition plan and amendments until November 15, 2015. The Draft HCBS Statewide Transition Plan and all waiver amendments can be found at:

 

http://medicaid.ohio.gov/RESOURCES/PublicNotices.aspx

 

September 16, 2015 - ICD-10 Transition and Compliance Deadline Updates

The compliance date for ICD-10 is October 1, 2015. The transition to ICD-10 is required for everyone covered by the Health Insurance Portability Accountability Act (HIPAA).

 

With this date being only 35 days away, it is recommended that everyone on Ohio Medicaid’s ICD-10 stakeholder list remind your stakeholder groups/members of the Ohio Medicaid ICD-10 resources available to them. On Ohio Medicaid’s ICD-10 webpage, all of the documents necessary are posted.

 

We would appreciate very much if you would share this information with your ICD-10 stakeholder groups/members, as applicable.

 

For those Ohio Medicaid providers currently submitting claims through the MITS web portal, Ohio Medicaid is offering on-site sessions in Columbus for providers to test their currently coded ICD-9 claims with ICD-10. The remaining sessions are scheduled for September 9, 16, 22, and 29. Ohio Medicaid providers can participate in these ‘ICD-10 MITS Web Portal Preparation’ sessions by:

  1. Selecting a date from ODM’s training calendar.
  2. E-mailing the following information to Ombudsmen_training@medicaid.ohio.gov: (a) name of class – ICD-10 MITS Web Portal Preparation, (b) name of participant(s), (c) provider name, (d) provider number, and (e) NPI.

**It’s important that providers registering for the ICD-10 MITS Web Portal Preparation’ sessions bring claims already coded in ICD-9 along with their ICD-10 translations. This will allow providers to compare the same claims coded in ICD-9 with claims coded in ICD-10. Ohio Medicaid will not be able to provide test claims or translations.

 

Please continue to remind your ICD-10 stakeholder groups/members of the Ohio Medicaid ICD-10 resources available to them. Please see: http://medicaid.ohio.gov/PROVIDERS/Billing/ICD10.aspx.

 

Finally, please feel free to contact us if you have any questions. We will do our best to assist.

 

August 4, 2015 - ICD-10 - CMS/AMA Announcement, Guidance, and FAQs

Dear Providers,

 

Below is a list of ICD-10 documents as of August 3rd, 2015:

July 7, 2015 - Courtesy Notification re: Case Management Agencies

Dear Providers:

 

This is a courtesy notification.

 

The Ohio Department of Medicaid recently completed another competitively bid contract for vendors to provide case management services to individuals enrolled on the Ohio Home Care Wavier. Effective July 1, 2015, CareStar, CareSource and Council on Aging will continue to provide case management services to individuals enrolled on the Ohio Home Care Waiver in the state's four waiver regions:

  • Cincinnati Region: Council on Aging and CareStar
  • Columbus Region: CareSource and CareStar
  • Cleveland Region: CareSource and CareStar
  • Marietta Region: CareSource and CareStar

For the first time the Ohio Home Care Waiver has more than one case management agency in every region. Later this year, an annual open-enrollment period will allow an individual to choose which agency to provide his or her case management.

 

Although an individual may receive a new case manager, that change will not affect how you provide services.

 

For additional information: Individuals may contact the ODM's Bureau of Long-Term Care Services and Supports at 614-466-6742.

 

July 1, 2015 - Nurse Aide Rates and New Services

Dear Interested Party: Proposed nurse/aide rates for the following services will become effective on July 1, 2015:

  • Medicaid state plan nursing and aide services;
  • Ohio Home Care (OHC) and Transitions Developmental Disabilities (TDD) waiver aide services; and
  • OHC, PASSPORT and TDD nursing services.

In addition, two new distinct services - RN Assessments and RN Consultations - will become effective on July 1, 2015.

 

To see the new rates and learn more, please click here . For questions, please call the Provider Relations Line at 1 (800) 614 – 686-1560.

 

June 4, 2015 - Update: Basic Billing training session being offered to Home Health Agency providers

Reminder: On July 14, 2015 there is a Basic Billing training session being offered to Home Health Agency providers that provide services to Ohio Medicaid consumers. Attendees will receive basic information regarding Ohio Medicaid rules, billing, resources, and MITS hands-on billing. To register, emailing your provider name, Ohio Medicaid provider number, the date of the training session and each attendee's name to Ombudsmen_training@medicaid.ohio.gov.

 

May 18, 2015 - CollabT: A CMS ICD-10 Coding Practice Opportunity for Ohio Medicaid Providers

The Ohio Department of Medicaid would appreciate your assistance by providing the following ICD-10 information to your members, if applicable.

 

CollabT: A CMS ICD-10 Coding Practice Opportunity for Ohio Medicaid Providers

 

Ohio Medicaid was selected by CMS to participate in a nationwide ICD-10 Collaborative Testing initiative known as CollabT. CollabT is an on-line tool that offers medical coders an opportunity to practice ICD-10 coding and receive instantaneous feedback on their coding efforts (claims adjudication testing is not part of CollabT in Ohio). Practicing ICD-10 coding not only increases coder confidence by allowing coders to learn from their mistakes, but also helps identify documentation gaps in advance of the transition to ICD-10. Coding practice is one of the most important determinants in whether an organization will experience a smooth transition to the new ICD-10 coding system.

 

There is no cost for Ohio Medicaid providers to practice ICD-10 coding in CollabT. If your organization would like to enroll, please review information at: http://medicaid.ohio.gov/Portals/0/Providers/Billing/ICD10/Updates/CollabT-415.pdf.

 

The transition to ICD-10 on October 1, 2015 is required for everyone covered by the Health Insurance Portability Accountability Act (HIPAA). Claims that do not use ICD-10 for dates of service (outpatient and professional) and discharge (inpatient hospital) on or after 10/1/2015 will deny.

 

For information on other types of ICD-10 testing with Ohio Medicaid, please visit our ICD-10 webpage at: http://medicaid.ohio.gov/providers/billing/icd10.aspx.

 

Please note: The Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) will continue to be used to report services and procedures in outpatient and professional settings. However, all claims (inpatient, outpatient, and professional) will require an ICD-10 diagnosis starting October 1, 2015.

 

If you have questions or wish to be removed from Ohio Medicaid's ICD-10 implementation stakeholder list, please direct your communications to Icd10questions@medicaid.ohio.gov. We will respond in a timely manner.

 

May 12, 2015 - ICDS Information

ODM and the Medicaid managed care plans have worked together to provide you with another co-branded Q&A document for Independent Providers. The document is located on ODM’s ICD-10 webpage under Provider Q&A, May 2015.

 

Billing guidance documents for Ohio Medicaid’s ICD-10 implementation entitled, “ICD-10 TIPS,” have also been posted to Ohio Medicaid’s ICD-10 webpage and are located under the ICD-10 TIPS (Billing Guidance) section.  Last month’s ICD-10 TIPS focused on Inpatient Prior Authorization/Precertification. Previously released ICD-10 TIPS include: Claims Compliance Date, Span Date Billing, Dental Claims, Billing Unspecified Codes, and Inpatient Hospital Interim Billing. Additional billing guidance documents will be posted in the months to come.

Ohio Medicaid is on schedule to meet the ICD-10 implementation compliance date of October 1, 2015.  Please visit our ICD-10 webpage at:  http://medicaid.ohio.gov/PROVIDERS/Billing/ICD10.aspx. ICD-10 information such as Provider Q&A, trading partner testing, free coding practice for providers (CollabT), OhioMHAS coding resources, and other documents have been posted.

If you have questions or wish to be removed from Ohio Medicaid’s ICD-10 implementation stakeholder list, please direct your communications to Icd10questions@medicaid.ohio.gov. We will respond in a timely manner.

 

April 27, 2015 - Ohio Department of Medicaid – ICD-10 TIPS - Inpatient Prior Authorization/Precertification

Billing guidance documents for Ohio Medicaid's ICD-10 implementation entitled, "ICD-10 TIPS," have been posted to Ohio Medicaid's ICD-10 webpage and are located under the ICD-10 TIPS (Billing Guidance) section. This month's ICD-10 TIPS focuses on Inpatient Prior Authorization/Precertification. Previously released ICD-10 TIPS include: Claims Compliance Date, Span Date Billing, Dental Claims, Billing Unspecified Codes, and Inpatient Hospital Interim Billing. Additional billing guidance documents will be posted in the months to come.

 

Ohio Medicaid is on schedule to meet the ICD-10 implementation compliance date of October 1, 2015. Please visit our ICD-10 webpage at: http://medicaid.ohio.gov/PROVIDERS/Billing/ICD10.aspx. ICD-10 information such as Provider Q&A, trading partner testing, free coding practice for providers, OhioMHAS coding resources, and other documents have been posted.

 

If you have questions or wish to be removed from Ohio Medicaid's ICD-10 implementation stakeholder list, please direct your communications to Icd10questions@medicaid.ohio.gov. We will respond in a timely manner.

 

March 11, 2015 - Ohio Department of Medicaid: ICD-10 TIPS #4--Billing Unspecified Codes

The Ohio Department of Medicaid (ODM) would appreciate your assistance by providing the following information, if applicable, to your providers, partners, and/or members.

 

ODM's fourth billing guidance document for ICD-10 implementation, entitled ICD-10 TIPS, was posted to Ohio Medicaid's ICD-10 webpage and is located under the ICD-10 TIPS (Billing Guidance) section. The fourth ICD-10 TIPS focuses on billing unspecified codes.

 

If your organization is interested in testing with Ohio Medicaid, please contact your trading partner and/or the Ohio Medicaid testing team at: DAS-EDI-Support@das.ohio.gov. You may also test with your vendors and each of Medicaid's managed care plans.

 

If you have any questions or wish to be removed from Ohio Medicaid's ICD-10 stakeholder list, please direct your communications to Icd10questions@medicaid.ohio.gov. We will respond in a timely manner.

 

February 5, 2015 - ICD-10 TIPS #3, now available

Ohio Medicaid's third billing guidance document for ICD-10 implementation, entitled ICD-10 TIPS, has been posted to Ohio Medicaid's ICD-10 webpage and can be found under the ICD-10 TIPS (Billing Guidance) section. The third ICD-10 TIPS focuses on ICD-10 usage on dental claims.

 

If your organization is interested in testing with Ohio Medicaid, please contact your trading partner and/or the Ohio Medicaid testing team at: MITS_CGTESTING@medicaid.ohio.gov. You may also test with Medicaid Managed Care Plans.

 

If you have any questions or wish to be removed from Ohio Medicaid's ICD-10 stakeholder list, please direct your communications to Icd10questions@medicaid.ohio.gov. We will respond in a timely manner.

 

January 15, 2015 - National Background Check Program information now live

The National Background Check Program information is now live on the ODM website. Details can be found here:

 

http://medicaid.ohio.gov/PROVIDERS/EnrollmentandSupport/AutomatedRegistryCheck.aspx

 

January 2, 2015 - 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: http://www.aging.ohio.gov/resources/providerinformation

 

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

 

December 31, 2014 - ODM HCBS Transition Plan

The Ohio Department of Medicaid is currently accepting comments on their plans to comply with the new federal Home and Community Based Services rules. Those rules can be found here.

 

Comments are being accepted through January 23, 2015. For additional information, or to comment click here.

 

December 19, 2014 - Supplementals for ICD-10 Implementation

Ohio Medicaid's second billing guidance document for ICD-10 implementation, entitled ICD-10 TIPS, has been posted to Ohio Medicaid's ICD-10 webpage and can be found under the ICD-10 TIPS (Billing Guidance) section. The second ICD-10 TIPS focuses on span date billing.

 

The Ohio Department of Medicaid has been working with CMS, Noblis, and the Ohio State Medical Association to put together an ICD-10 implementation webinar for small physician practices. The webinar will take place on January 15. Registration information is available on Ohio Medicaid's ICD-10 webpage under Updates at: http://medicaid.ohio.gov/PROVIDERS/Billing/ICD10.aspx. The webinar is designed for physicians, non‐physician clinicians such as APRNs, independent providers, practice managers, and coders.

 

August 8, 2014 - Update to ICD-10

The U.S. Department of Health & Human Services released a final rule setting 10-1-2015 as the new ICD-10 compliance date. The rule also requires use of ICD-9 until 9-30-2015. Please prepare now for the conversion. If your organization is interested in testing, please contact your trading partner and/or Ohio Medicaid's testing team at: MITS_CGTESTING@medicaid.ohio.gov.

 

July 22, 2014 - Medicaid Forms - New Location

Effective July 1, 2014, all Medicaid related forms are now available on the Medicaid web site at: www.Medicaid.Ohio.gov/Resources/Publications/MedicaidForms. This change comes as part of our continued transition into becoming a stand-alone agency.

 

Medicaid forms retain their original form number, but the prefix changed from "JFS" to "ODM". Please discontinue using "JFS" forms.

 

All Medicaid forms are accessible by the public and our county and state constituents. ODJFS will be redirecting users from their Forms Central to ours when a Medicaid related form is being requested.

 

Please direct any of our partners and sister agencies to the new Medicaid Forms Central for all of their form requests. If you or a constituent are having problems finding a form, please direct them to ODM Business Services ODM_Forms_Ordering@medicaid.ohio.gov.

 

July 18, 2014 - Update to ICD-10

Information regarding the new ICD-10 compliance date of October 1, 2015 has been published to Ohio Medicaid's ICD-10 webpage at: www.medicaid.ohio.gov/providers/billing/icd10.aspx

 

April 16, 2014 - Mandatory Provider Training Notice

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.

 

The mandatory training can be viewed at: http://ohiohcbs.pcgus.com/TrainingMaterials/

 

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 http://codes.ohio.gov/oac/5160-45-05

 

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

 

March 28, 2014 - ICD-10

January 1, 2014 - Ohio Medicaid Announces Addition of New Case Management Agencies for the Ohio Home Care Waiver and the Transitions II Aging Carve-Out Waiver

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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:

Ohio HCBS
155 East Broad Street 8th Floor Columbus, OH 43215
Phone: 877-908-1746
Fax: 614-386-1344
E-mail: ohiohcbs@pcgus.com