Provider Occurrences (PO) refer to any alleged, suspected, or actual performance or operational issue by a provider delivering ODM-administered waiver services that does not qualify as an incident under rule 5160-44-05. Examples include violations of provider eligibility, service specifications, conditions of participation, and billing issues such as overpayments or Medicaid fraud.

This training offers an overview of the provider occurrence categories introduced in 2021, a detailed review of these categories, and a crosswalk to the corresponding Ohio Administrative Code rules.