We are excited to announce the availability of the new Provider Toolkit! The Provider Toolkit contains forms you need to maintain your required provider documentation. All forms are approved for use by the Ohio Department of Medicaid. Every provider is responsible for maintaining documentation that complies with Medicaid regulations and searching for or creating compliant forms can be a time consuming and difficult barrier for many providers. We hope that you find this resource to be valuable!
We are excited to release our Provider Enrollment Success Training Series! The Provider Enrollment Success series contains training videos and guides designed to help providers successfully complete their enrollment application and begin delivering services as quickly as possible. Materials are available for both independent and agency providers. This training series includes...
We know how important it is to find a long-term service provider you can trust. Whether you are starting your provider search or looking for tips to make this process easier and more successful, we invite you to watch this training series: How to Choose the Best Service Provider for Me!
For more information visit the ODM ORP Web page here.
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.
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: http://ohiohcbs.pcgus.com/TrainingMaterials. 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 5160-44-05 Ohio department of Medicaid (ODM)-administered waiver program: incident management system, which can be found at https://codes.ohio.gov/ohio-administrative-code/rule-5160-44-05
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.
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
P.O. Box 361830
Columbus, OH 43236
Phone: 877-908-1746
Fax: 614-386-1344
E-mail: ohiohcbs@pcgus.com
