Provider Occurrence Rules Presentation (30 minutes)
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.
This course meets the requirements for (.5) hour of credit toward the Ohio Department of Medicaid’s (ODM) required 6 hours of continuing education for Non-Agency Personal Care Aides (PCAs).
Note: Please plan to view the training immediately after registering. Once the viewing window closes, the recording cannot be reopened, and you will need to register for the training again.
You will receive your certificate by email within 24 hours after completing the training.
Please save the email or download the certificate to your records right away so it can be easily accessed when needed. If you do not receive your certificate within 24 hours, check your junk/spam folder, as certificates may sometimes be routed there. If you still cannot locate your certificate, contact PCG Provider Relations at 877-908-1746 or email us at ohiohcbs@pcgus.com.
Please provide the following information for access to the training.