We understand many providers are experiencing issues related to the Ohio Medicaid Provider Network Management (PNM) implementation. We recognize your frustration and want to ensure you are aware of the currently identified issues and opportunities to report PNM issues and seek technical assistance. Below are identified issues ODM has communicated related to the PNM. We greatly appreciate your patience with BHBS as we navigate these issues and apologize for any unusually slow response times.
Provider Revalidation Notice
Ohio Medicaid providers may have received a revalidation notice to renew their provider agreement with the Ohio Department of Medicaid. The 30-day, 60-day, or 90-day revalidation notices were sent out in error, and providers should disregard the message. The 120-day revalidation notice was sent as expected, and providers should proceed with the steps located on the notice as it is valid.
Issues with extra screens for Behavioral Health Providers
PNM is currently experiencing a known issue where dependently licensed providers are being required to enter information for credentialing purposes. This includes Education & Training, Malpractice Claims History, Malpractice Insurance, and Work History. As this issue has been identified, ODM is actively working to correct this error to reduce needed data entry for non-credentialled providers. As a reminder, for individual providers, credentialing is only required for licensed providers who are able to practice independently under state law.
Issues with access to MITS through the PNM
ODM is aware that there is an issue when accessing MITS through the Provider Network Management module and is working quickly to resolve this issue. For Medicaid eligibility verification, we have confirmed with ODM that the 270/271 process is functional with MCOs and fee-for-service Medicaid. Additionally, providers can check eligibility through the MCO’s provider portals.
The “Select Provider” button on the Provider Network Management (PNM) Module has been disabled
Maximus has disabled the “Select Provider” button on the PNM. When available, this button allows provider administrators to obtain the assignment of a Medicaid ID for their provider account. ODM became aware of a potential security issue and are providing full support to Maximus as they work to correct the issue. This has caused BHBS
Who to Contact for Help
While this is being corrected, to assign Medicaid IDs to Administrator accounts in the PNM module, providers will need to call the Ohio Medicaid Integrated Help Desk at 1-800-686-1516 and select option 2, and then select option 3 to speak to a live agent. Call representatives will confirm provider credentials prior to updating the system. Representatives are available during the following dates and times:
Today through Friday, October 14
· Monday-Friday 7 a.m. – 7 p.m.
· Saturday 8 a.m. – 5 p.m.
Monday, October 17 and ongoing
· Monday-Friday 8 a.m. – 4:30 p.m.
ODM indicated they recognize that the wait times are inconvenient, and they are actively adding support representatives to assist with this process. Providers can also contact the IHD by email at IHD@medicaid.ohio.gov and can ask questions and report issues to OhioTrainingTeam@Maximus.com.
Thank you to our friends at The Ohio Council of Behavioral Health & Family Services Providers for communicating the above information and continuing to provide advocacy to the BH providers of Ohio.
We are all in this together.
- Reminder: New guidance for OhioRISE provider enrollment and billing effective October 1
- Read the article “Single Pharmacy Benefit Manager is Live!” for important information and resources.
- For additional information, review the PNM training materials and review the PNM Frequently Asked Questions.
- How to create an OH|ID account specifically set up to be an agent user https://scribehow.com/shared/Register_for_OHorID_PNM_Agent_Account__wfc9YWReTZa7JocYcRsnkQ