Non-Agency Provider CE Quick Reference Guide

Public Consulting Group, on behalf of the Ohio Department of Medicaid, will be conducting (1) IN-PERSON training around the State.

The Ohio Department of Medicaid (ODM) is mandated to participate in the Centers for Medicare and Medicaid (CMS) Payment Error Rate Measurement (PERM) program. This will assess our payment accuracy rate for the Medicaid and CHIP programs. If chosen in a random sample, your organization will soon receive a Medical Records Request from the CMS review contractor, Empower AI. This cycle measurement will review Medicaid and CHIP payments made in Reporting Year (RY) 2025: July 1, 2023 through June 30, 2024.

During the COVID-19 public health emergency (PHE), CMS provided flexibilities to the Ohio Administrative Code (OAC) rules through Appendix K. With the ending of the PHE in May 2023, these flexibilities ended on January 1, 2024. This training will cover changes to OAC rules concerning Ohio Home Care and MyCare waivers.