Ohio Medicaid Resumes Provider Revalidation Process – What Providers Need to Know
By nCred AI / Healthcare Industry News
The Ohio Department of Medicaid (ODM) has recently resumed the provider revalidation process, marking a crucial step in the federally mandated unwinding process from the COVID-19 public health emergency. In a press release, ODM outlined the timeline and essential steps providers must take to ensure the timely completion of their Medicaid agreements.
Notification Process
Provider revalidation notices are issued by ODM at specific intervals before the Medicaid agreement end date. The first notice is sent 120 days before, followed by subsequent reminders at 90 days, 60 days, and a final notice at 30 days. It is imperative for providers to act promptly upon receiving these notifications.
How to Check for Revalidation
Providers can confirm if they are due for revalidation through two primary methods:
1.Mail and Email: Revalidation reminders are sent via mail and email to providers nearing the end of their Medicaid agreement. Providers should be on the lookout for emails from OHPNM@maximus.com and check their Correspondence folder in the Provider Network Management (PNM) module.
PNM Module Correspondence Folder: Revalidation notices are posted in the PNM module’s Correspondence folder. Providers can access this folder, select the appropriate correspondence type (<Enrollment Notices>), and search for “Revalidation Notices” using the step-by-step instructions provided in the Accessing Communications within PNM Quick Reference Guide.
Verification of Contact Information
If providers suspect they are due for revalidation but haven’t received notices, they should log in to the PNM module and ensure that their primary contact information aligns with the Ohio Medicaid Provider Agreement. All communication is directed to the primary contact individual or address identified in the system.
Steps for Revalidation
Providers due for revalidation will see a “Begin Revalidation” option in the PNM Enrollment Action Selections 120 days before the Medicaid Agreement end date. This option can be found under “Manage Application” and “Enrollment Actions” within the provider file. Detailed instructions are available in the Revalidation/Reenrollment Quick Reference Guide.
Important Update
While ODM emphasizes the urgency of completing revalidation, it reassures providers that failure to revalidate will not result in termination at this time. ODM expects to provide the “Begin Revalidation” option for credentialed providers with expired revalidation dates through the PNM module starting October 26.
Support and Resources: For technical support and assistance, providers can contact Ohio Medicaid’s Integrated Helpdesk (IHD) at 800-686-1516 or email IHD@medicaid.ohio.gov. The IHD is available Monday to Friday, 8 a.m.-4:30 p.m. Eastern time. Additional information about the PNM module and Centralized Credentialing can be found on the PNM and Centralized Credentialing page on the Next Generation website.
In conclusion, providers are urged to stay informed, check their notifications regularly, and take prompt action to complete the revalidation process in adherence to Ohio Medicaid requirements.