Schedule of Upcoming Maintenance Activities
Ohio Benefits – The Presumptive Eligibility and Deemed Newborn Portal will undergo maintenance activities Friday, April 3, from 6:00 p.m. through Monday, April 6 at 6:00 a.m.
Register Now for Provider Network Management Module
Refresher Training
The Ohio Department of Medicaid (ODM), in partnership with
Maximus, the Provider Network Management (PNM) module vendor, is excited to
share that we are continuing our provider awareness and training efforts.
Provider Refresher Training is scheduled for May 12 - 21.
Registration steps for enrolling through the learning
management system
Access the Absorb
learning management system to register for the training. If you do not have
an Absorb account, you must create one to access all training sessions, answer
forms, and view various PNM module resources. For help, please see our
job aid and follow the steps to create your account and/or register for
training.
Training topics
- Provider Administrator and Power Agent Role
- Provider Agent Role
- Updating/Changing Medicaid Enrollment Information
- Prior Authorizations
- Entering and Searching for Professional Claims
Note: Additional session details are available within the
Absorb course listing.
For more information
If you are experiencing technical issues accessing the PNM
module or have specific questions, please contact the ODM Integrated Helpdesk
at 800-686-1516 from 8 a.m.-4:30 p.m. Monday-Friday, Eastern
time. You can also email your questions
to IHD@medicaid.ohio.gov.
New! Form 6653 Submission Instructions
The Form 6653 process is now live. Here’s what you need to know to
submit it correctly the first time. If you’re submitting EDI claims, make sure you populate
the PWK segment with value B4 when using the Form 6653 process.
If you’re submitting Portal claims, simply attach the
completed Form 6653 to your claim and select “Form 6653” from the
document type dropdown.
Following
these steps will help avoid delays and keep your claims moving.
Next Generation MyCare 277CA, 835ERA, and Member Eligibility Look Up
The Next Generation MyCare plans have resolved issues that were impacting the delivery of outbound documents, including all 277 Claims Acknowledgement (CA) and 835 Electronic Remittance Advice (ERA) files. CareSource has also resolved issues related to the ability to deliver outbound Managed Care 835ERA forms. If you are still seeing delays in delivery of 277CAs or 835ERAs, contact the Ohio Department of Medicaid (ODM) Integrated HelpDesk at 800-686-1516.