IMPORTANT: Medicaid Agreement Revalidations in the Provider Network Management Module
Ohio Department of Medicaid (ODM) resumed provider revalidation notices in June 2023 as part of the federally required unwinding process from the COVID public health emergency. ODM issues a series of notices with the first one delivered 120 days before your Medicaid agreement end date. Subsequent reminders are issued at 90 days, 60 days, and a final notice at 30 days. If you receive a revalidation notice, it is important that you take action to complete your revalidation on time. All providers are subject to either 5-year or 3-year time-limited provider agreements.
How do you know if you are due for revalidation?
Check your mail and email.
Revalidation reminder notices are mailed and emailed to providers who are due for revalidation before the end of their Medicaid agreement. The email will be sent from OHPNM@maximus.com and will advise that there is a revalidation correspondence in the Correspondence folder in Provider Network Management (PNM) module. Please check your spam folder for this email.
View the Correspondence folder in the PNM module.
Revalidation notices are posted in the PNM module and can be accessed in the Correspondence folder. Please be sure to select the type of correspondence from the drop down (in this case <Enrollment Notices>), and search for the “Revalidation Notices.” Review the Accessing Communications within PNM Quick Reference Guide for step-by-step instructions.
NOTE: If you think you are due for revalidation but have not received notices, please login to the PNM module and verify that the primary contact information is accurate in accordance with your Ohio Medicaid Provider Agreement. All mailers and email notices are directed to the primary contact individual or address identified in the system.
If I am due for revalidation, what action do I need to take?
A “Begin Revalidation” option appears in the PNM Enrollment Action Selections 120 days before the Medicaid Agreement end date. This can be found under the “Manage Application,” “Enrollment Actions” option within the provider file. Review the Revalidation/Reenrollment Quick Reference Guide for step-by-step instructions.
Credentialed providers whose revalidation date has passed will not see the “Begin Revalidation” option. ODM expects to provide the “Begin Revalidation” option for these credentialed providers through the PNM module starting October 26.
IMPORTANT UPDATE:
If you are currently in a PNM revalidation cycle, it is important that you take immediate action to complete and submit your revalidation to renew your Ohio Medicaid Provider Agreement. However, ODM is NOT currently terminating providers that fail to revalidate. As a reminder, revalidations resumed following the end of the public health emergency for providers due October 1 and after.
For more information:
For technical support or assistance, contact Ohio Medicaid’s Integrated Helpdesk (IHD) at 800-686-1516 and follow the prompts for Provider Enrollment (option 2, option 2) or email IHD@medicaid.ohio.gov. Representatives are available Monday-Friday, 8 a.m.-4:30 p.m. Eastern time.
To learn more about the PNM module and Centralized Credentialing, visit the PNM and Centralized Credentialing page on the Next Generation website.