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It guides how we operate our programs and how we regulate our providers. This page contains resources for the Ohio Medicaid provider community, including policy and advisory letters, billing guidance, Medicaid forms, research, and reports.
ODM policy guidance for managed care organizations regarding: behavioral health, pharmacy, dental, hospital services, long term care, provider enrollment, laboratory services, substance use disorder treatment, file specifications, EPSDT, EVV, MyCare Ohio, hospice, medical necessity and prior authorization limitations, episodes of care, and more.
• Ohio Medicaid provides healthcare coverage for about 3.18 million Ohioans with low incomes, including many individuals who cannot afford private or employer-sponsored health insurance. • Medicaid is a significant share of government spending in Ohio. In state fiscal year 2020, Medicaid expenditures from state and federal funding
19 kwi 2022 · The Medicaid program is a partnership between federal and state government that pays for healthcare services for approximately 3.37 million Ohioans with low incomes (see figure 1), including more than 1.32 million children. Many Ohioans enroll in Medicaid because private or employer-sponsored health insurance coverage is unavailable, too ...
1 gru 2020 · All Ohio Medicaid eligibility categories are considered MEC; however, individuals eligible under the alien emergency medical assistance (AEMA) and presumptive eligibility (PE) categories continue to be exempt from the continuous coverage requirement.
MEPL 153: 2020 Standard Utility Allowance (SUA) Increase; MEPL 152: 2020 Minimum Monthly Maintenance Needs Allowance (MMMNA) and Excess Shelter Allowance (ESA) Standards ... Ohio Department of Medicaid | 50 West Town Street, Suite 400, Columbus, Ohio 43215. Consumer Hotline: 800-324-8680 | Provider Integrated Helpdesk: 800-686-1516.
This correspondence serves as a notification to Medicaid managed care plans (MCPs) and MyCare Ohio plans (MCOPs) that the Ohio Department of Medicaid (ODM) is providing additional clarification on Medicaid Handbook Transmittal Letter (MHTL) No. 3334-20-051.
