Provider Training
In-Person Provider Training
Public Consulting Group (PCG), on behalf of the Ohio Department of Medicaid, is offering free quarterly IN-PERSON provider trainings in different locations around the state focused on the Ohio Home Care Waiver rules. These sessions will provide a high-level overview of provider requirements, documentation requirements, the structural review process, and expectations for reporting incidents.
**This training is a combined version of the Rules and Responsibilities: Essential Training for All Providers Parts 1 & 2 listed below and is the designated new provider training that is mandatory for new providers within their first 90 days.**
This training has been approved by the Ohio Department of Medicaid (ODM) for credit towards Continuing Education (CE) requirements for non-agency personal care aides (PCAs) outlined in OAC 5160-46-04 and also qualify for Ohio CSWMFT Board continuing education credits.
New!!! Continuing Education Training “Pathway to Excellence”
PCG, in collaboration with ODM, developed a variety of continuing education (CE) courses for all providers. These courses meet ODM’s annual six-hour CE requirement for non-agency PCAs. Submit the registration form and complete the training to receive your certificate of completion. Not sure where to begin? Our ‘Pathway to Excellence’ organizes the training courses into clear phases, guiding you step-by-step based on where you are in your provider journey.
Phase 1: Getting Started
Congratulations! You made it through the enrollment process, and you are now a Medicaid Provider! If you are anything like many other newly enrolled providers, you may be asking yourself, “Now what do I do?” “What do I need to do to get started?” You are not alone! These trainings will introduce you the fundamental information required to perform your duties from “Day 1” of becoming an in-home service provider.
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Rules and Responsibilities: Essential Training for All Providers Parts 1 & 2 is the recently designated new provider training that is mandatory for new providers within their first 90 days. You must view both parts to meet the OAC requirement.
This series provides a deep dive into Ohio Administrative Code (OAC) rules that govern how providers of Ohio Home Care and MyCare waivers furnish services to their Waiver individuals. Knowing and understanding the various rules will help ensure the health and welfare of Waiver individuals and improve provider skills and abilities in their daily functions.
Part 1 focuses on the provider’s responsibility to report events that could reasonably cause harm to an individual, their responsibility for understanding and delivering services according to the person-centered services plan and identifying the requirements and expectations outlined in OAC rules.
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Rules and Responsibilities: Essential Training for All Providers Parts 1 & 2 is the recently designated new provider training that is mandatory for new providers within their first 90 days. You must view both parts to meet the OAC requirement.
This series provides a deep dive into Ohio Administrative Code (OAC) rules that govern how providers of Ohio Home Care and MyCare waivers furnish services to their Waiver individuals. Knowing and understanding the various rules will help ensure the health and welfare of Waiver individuals and improve provider skills and abilities in their daily functions.
Part 2 focuses on prohibited provider behaviors, the provider’s responsibility for maintaining clinical records, utilizing electronic verification and billing best practices, preparing for structural reviews and how to report events that could reasonably cause harm to an individual.
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Upon entering into a Medicaid provider agreement, and annually thereafter, all providers including all employees who have direct contact with individuals enrolled on an ODM-administered waiver, must acknowledge in writing they have reviewed rule 5160-44-05 of the Administrative Code regarding incident management and related procedures.This training meets this requirement.
Navigating Incident Management… provides a deep dive into the Incident Management Rule (OAC 5160-44-05), which identifies events that may cause harm to the individual, such as abuse, neglect, and exploitation. The training focuses on the provider’s responsibility to ensure the Individual’s health and welfare as a mandated reporter. During the training, we will also review the investigation process and the provider’s role in that process.
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This training is a great follow up to Rules and Responsibilities Parts 1 & 2.
Kickstart Your Journey will give you some fundamental first steps to get your business going such as finding a client, getting authorized to provide services to a client, preparing for the start of service, providing services and best practices for long-term success.
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Providers must maintain documentation that meets current Waiver requirements, but finding or creating compliant forms can be challenging. The Provider Toolkit simplifies this process by offering ODM approved ready-to-use forms for nurses, home care attendants, and personal care aides. This training will show you how to make the most of these resources.
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This training has been retired and replaced by Rules and Responsibilities: Essential Training for All Providers Parts 1 & 2.
Phase 2: Sharpening Your Skills
You’ve gained valuable experience and have a solid understanding of the Ohio Administrative Code (OAC) rules, and the essentials needed to perform your role effectively. Now it’s time to take your expertise to the next level. These trainings are designed to help you sharpen your skills, deepen your knowledge, and explore new strategies that will enhance the quality of care you provide.
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As a provider, you are responsible for understanding and complying with both federal and state rules and regulations regarding HIPAA and privacy. In this course, we will define HIPAA and the Waiver rules that follow HIPAA. Additionally, we will discuss an individual’s right to privacy, how to safeguard Protected Health Information (PHI), and highlight what types of PHI can be shared and what information needs to be kept confidential. Finally, we will share real examples of investigations into potential HIPAA violations to give you a sense of what constitutes a violation.
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Person-centered planning is the method used to identify the waiver services an individual needs in order to stay healthy, safe, and have a good life. As a provider, you are expected to understand and contribute to the person-centered planning process. You are also expected to provide services as dictated by the process.
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This training helps providers learn how to effectively manage their business. Topics covered include best practices for record keeping, waiver tax requirements, billing issues, and common mistakes and how to avoid them. The Structural Review process will also be discussed in detail to ensure that providers are prepared with all necessary paperwork.
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Professionalism is the competence or skill expected of a professional. It involves the use of communication, knowledge, technical skills, emotions, values and reflection in daily practice that benefits the individual and community being served. Professional boundaries define where we go, what we should do and how close we get to people both physically and emotionally. In this training, we will discuss professionalism and professional boundaries. You will learn why boundaries are important, how to maintain professional relationships with individuals and review unprofessional behavior scenarios and discuss how the situations could have been handled better.
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This training provides an overview of the specifications and requirements for various waiver services such as Community Integration and Transition, Adult Day Health Center, Out of Home Respite, Supplemental Transportation Services, Home Delivered Meals, and Personal Emergency Services. The training is geared toward waiver nurses, personal care aides, and home care attendants.
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As a provider, you are an important resource for the individual and should always be on the lookout for threats to their health, safety and welfare. In this training we will define abuse and neglect toward individuals enrolled in the Ohio Home Care and MyCare Ohio Waivers. We will review examples including real events that PCG has investigated in order to help you identify abuse and neglect and avoid falling into common pitfalls that lead to events being substantiated. Additionally, we will review provider reporting responsibilities, and contributing factors that can lead to paid and unpaid caregiver abuse and neglect. Finally, we will share coping strategies to help manage those contributing factors.
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Individuals enrolled in the Ohio Home Care and MyCare Ohio Waivers can fall prey to misappropriation and exploitation in devastating ways. Waiver providers are an important resource for the individual and should always be on the lookout for threats to their health, safety, and welfare. In this training we will define and identify the dynamics of this form of financial abuse. We will review provider reporting responsibilities and discuss examples of real events that PCG has investigated in order to help you identify misappropriation and exploitation and avoid falling into common pitfalls that lead to events being substantiated. Finally, we will share ways that you can help individuals protect themselves.
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Understanding how an individual has experienced trauma in their life helps you adopt a trauma-informed approach to services that supports a feeling of safety and avoids actions that could retraumatize the individual. This training will define trauma, trauma informed care, and provide an overview of the assumptions and driving principles of a trauma-informed approach and helpful trauma related responses when interacting with individuals who have experienced trauma in their life.
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Chronic Obstructive Pulmonary Disease (COPD) is a progressive, incurable condition that affects breathing and quality of life. Nurses and other in-home waiver providers play a key role in early detection, symptom management, patient education and care coordination. This course offers an overview of COPD - its symptoms, progression, risk factors, and treatment options - along with best practices for documentation, symptom identification, and communicating exacerbations to the case manager.
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Dementia is often overlooked in people under 60 because it is commonly associated with older adults. This presentation explores how neurocognitive disorders affect younger individuals, why early detection matters, and how to recognize symptoms. It also reviews three common early-onset dementias and highlights the in-home caregiver’s critical role in identifying cognitive or behavioral changes.
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During the federal public health emergency (PHE) related to the COVID-19 pandemic, the Center for Medicare and Medicaid Services (CME) provided flexibilities to the Ohio Administrative Code (OAC) rules through what is called Appendix K: a standalone set of rules that may be used in emergency situations. With the ending of the PHE in May of 2023, these flexibilities ended 1/1/2024, resulting in changes to the OAC rules. This training will thoroughly cover the changes in OAC rules as they are related to the Ohio Home Care and MyCare waivers.
Phase 3: Refresher Courses
As an experienced provider, you know your role well—but even the most skilled professionals benefit from a quick refresher. These courses are here to help you stay sharp, reinforce essential responsibilities, and ensure your work remains effective and compliant with OAC requirements.
** Please note: The content of these trainings are identical to those listed in Phase 1: Getting Started.**
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This series provides a deep dive into Ohio Administrative Code (OAC) rules that govern how providers of Ohio Home Care and MyCare waivers furnish services to their Waiver individuals. Knowing and understanding the various rules will help ensure the health and welfare of Waiver individuals and improve provider skills and abilities in their daily functions.
Part 1 focuses on the provider’s responsibility to report events that could reasonably cause harm to an individual, their responsibility for understanding and delivering services according to the person-centered services plan and identifying the requirements and expectations outlined in OAC rules.
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This series provides a deep dive into Ohio Administrative Code (OAC) rules that govern how providers of Ohio Home Care and MyCare waivers furnish services to their Waiver individuals. Knowing and understanding the various rules will help ensure the health and welfare of Waiver individuals and improve provider skills and abilities in their daily functions.
Part 2 focuses on prohibited provider behaviors, the provider’s responsibility for maintaining clinical records, utilizing electronic verification and billing best practices, preparing for structural reviews and how to report events that could reasonably cause harm to an individual.
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Upon entering into a Medicaid provider agreement, and annually thereafter, all providers including all employees who have direct contact with individuals enrolled on an ODM-administered waiver, must acknowledge in writing they have reviewed rule 5160-44-05 of the Administrative Code regarding incident management and related procedures.This training meets this requirement.
Navigating Incident Management… provides a deep dive into the Incident Management Rule (OAC 5160-44-05), which identifies events that may cause harm to the individual, such as abuse, neglect, and exploitation. The training focuses on the provider’s responsibility to ensure the Individual’s health and welfare as a mandated reporter. During the training, we will also review the investigation process and the provider’s role in that process.
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Providers must maintain documentation that meets current Waiver requirements, but finding or creating compliant forms can be challenging. The Provider Toolkit simplifies this process by offering ODM approved ready-to-use forms for nurses, home care attendants, and personal care aides. This training will show you how to make the most of these resources.
ODM Trainings
ODM created several additional training courses to make it easier for you to confidently navigate OAC requirements. These resources are designed to support you every step of the way!
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This training reviews Ohio Administrative Code rules for Medicaid Waiver programs. It covers required documentation, identifying potential harm to waiver individuals, and reporting responsibilities to ensure their health and safety. Please complete the quiz after viewing this training.
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This quiz should be taken after viewing the Home and Community Based Waiver Services Training Presentation.
Click Here to Access the Quiz
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This training has been retired and replaced by Rules and Responsibilities: Essential Training for All Providers Parts 1 & 2.
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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.
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This training reviews Ohio Administrative Code rules for Home Health, Private Duty Nursing, Waiver, RN Assessment, and RN Consultation services. It explains service definitions, billing terms, and reimbursement rates as of April 2021.
These courses meet ODM’s annual six-hour CE requirement for non-agency PCAs.
Other Provider Training
Below, please find additional training courses available to help providers successfully navigate requirements. These courses are not approved for continuing education credit hours and CANNOT be used toward the annual 6-hour CE requirement for non-agency PCAs.
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Direct Sign-Up Link: http://www.sandatalearn.com?keyname=ODMEVVagencyphase3
Clicking Sign Up from the LMS login screen: https://www.sandatalearn.com
The Enrollment key = ODMEVVAgencyPhase3
If at the time of EVV training you do not have your Ohio Department of Medicaid (ODM) Provider Medicaid ID number, you may enter in ‘9999999’ in the Provider Medicaid ID # required field so you can start the training. Please update the Medicaid ID # field in your profile once you receive your ID. Updating your ID is important because it gives you credit for completing training and notifies ODM and Sandata of your EVV training status.
If you are a non-agency user, please utilize the training below for non agency providers.
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Direct Sign-Up Link: http://www.sandatalearn.com?keyname=ODMEVVnonagencyphase3
Clicking Sign Up from the LMS login screen: https://www.sandatalearn.com
The Enrollment key = ODMEVVNonAgencyPhase3
If at the time of EVV training you do not have your Ohio Department of Medicaid (ODM) Provider Medicaid ID number, you may enter in ‘9999999’ in the Provider Medicaid ID # required field so you can start the training. Please update the Medicaid ID # field in your profile once you receive your ID. Updating your ID is important because it gives you credit for completing training and notifies ODM and Sandata of your EVV training status.
If you are a non-agency user, you may enter in ‘Non Agency User’ in the Agency Name required field.