Latest News

October 7, 2021 - COVID-19 Guidance and FAQ Updates

The Ohio Department of Medicaid has provided updated guidance and FAQ’s regarding the latest updates on COVID-19 impacting OHCW, PASSPORT, and MyCare providers.

• Provider Emergency Protocol: Response to COVID-19

April 23, 2021 - The Ohio Home Care Waiver Program case managed by CareSource is moving to a new system platform on April 1, 2021

The Ohio Home Care Waiver Program case managed by CareSource is moving to a new system platform on April 1, 2021. The changes will enhance the individual and provider experience. There will be new individual and provider portals that will look and act different. Create an account by following this link CareSource.com > Login > Provider. Get help with a click to a help link on your computer or a phone call to 1-800-488-0134. The help desk can also assist with obtaining your unique CareSource portal ID for registration and log in.

 

January 13, 2021 - Waiver Public Comment Opportunity

The Ohio Department of Medicaid (ODM) asks for your assistance in reaching individuals about an announcement of the opportunity to comment on the proposed renewal of the Ohio Home Care Waiver and the Level One Waiver, as well as on amendments to the MyCare Ohio, Assisted Living, PASSPORT, Individual Options, and SELF waivers. The comment period will be held from January 11, 2021 to February 11, 2021.

Ordering, Referring, Prescribing (ORP) Requirements:

• Post-Implementation FAQs

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: http://www.aging.ohio.gov/resources/providerinformation

 

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

 

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: 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.