Ohio Medicaid Provider Enrollment Phone Number. Ohio Medicaid Members – Update your Contact Information To stay in
Ohio Medicaid Members – Update your Contact Information To stay in the know about Ohio Medicaid’s program changes and updates, make sure to keep your If you are providing services as a Non-Contracted Provider, you need to register with Buckeye. Interactive Voice Response System (IVR) provides 24/7/365 access to information regarding client eligibility, claim and payment status, and provider information. Find contact info, hours, and registration details for providers. If you're a provider, call our Provider Hotline at 800-686-1516. If you are unsure of what provider type to request, you should contact the Integrated Help Desk at Ohio Medicaid is changing the way we do business. MyCare Ohio: 8 a. Do Providers need to notify Ohio Medicaid of address changes? Yes, per the Medicaid Provider agreement, a Provider must inform Provider Enrollment at 1-800-686-1516 within thirty days of any Care providers who need technical assistance can contact ODM’s Integrated Help Desk at 800-686-1516 and follow the prompts for Provider Enrollment or email IHD@medicaid. Box 1461 Columbus, 4. We are streamlining provider enrollment and support services to make it easier for you to work with us. Eastern Time. You can also reach us by contacting one of our Contracting Managers Monday through Friday from 8 a. gov. Otherwise, follow the links below for additional resources, or Version: (OH PROD) V3. To provide services as a Non-Participating Provider, you Please have the following on hand: 7 digit Ohio Medicaid Provider number, NPI, EIN and/or SSN The internal control number (ICN) found on your remittance advice and other pertinent information related Our web-based provider application is designed to walk you through the steps in order to submit all the information that the Ohio Medicaid program needs to Supplemental data options (PDF) Ohio Medicaid managed care requirements Ohio Administrative Code Ohio Revised Code If you need more information or can't find an answer to your question, check your Care providers who need technical assistance can contact ODM’s Integrated Help Desk at 800-686-1516 and follow the prompts for Provider Enrollment or email IHD@medicaid. Through this link, providers submit and adjust fee-for-service claims, prior authorization The Ohio Department of Medicaid (ODM) is responsible for credentialing all Medicaid Managed Care providers. For questions not addressed on our website, please call Provider Services at 1-800-488-0134 Monday through Friday from 7 a. Learn more about Ohio's largest state agency The Ohio Department of Medicaid (ODM) provides health care coverage to more than 3 million Ohioans through a network of more than 200,000 providers. This helps make sure that providers are qualified and that the As of October 1, provider enrollment applications must be submitted using Ohio Medicaid's new Provider Network Management (PNM) Module. The credentialing and recredentialing Contact Information Business Hours Medicaid: 7 a. to For provider questions and claims issues, please contact our Provider Services team. ohio. Enrollment Ohio Medicaid follows federal rules that say all providers who care for people with Medicaid must be signed up with the state. If you're an Ohio Medicaid member, call our Consumer Hotline at 800-324-8680. Medicare and Marketplace: 8 a. to 8 p. Information about provider enrollment and Ohio Medicaid Members – Update your Contact Information To stay in the know about Ohio Medicaid’s program changes and updates, make sure to keep your Yes, per the Medicaid Provider agreement, a Provider must inform Provider Enrollment at 1‐800‐686‐1516 within thirty days of any changes in: • licensure • certification or registration status • Learn how to communicate with CareSource: phone, fax, portal, email. to 5 p. PHONE SUPPORT 833-491-0344 TTY-833-655-2437 Call our Customer Support Representatives 24 hours per day, 7 days a week. 20. m. Learn . Please call Provider Services at 1-866-296-8731. Otherwise, follow the links below for additional resources, or As of Oct. 1, 2022, providers utilize the Provider Network Management (PNM) module to access the MITS Portal. You can also reach us by contacting one of our Do Providers need to notify Ohio Medicaid of address changes? Yes, per the Medicaid Provider agreement, a Provider must inform Provider Enrollment at 1‐800‐686‐1516 within thirty days of any • CareSource: 800-488-0134 • Molina HealthCare of Ohio: 855-322-4079 • United Healthcare Community Plan: 877-842-3210 • Providers interested in becoming a MyCare Ohio provider. The Ohio Department of Medicaid (ODM) provides health care coverage to more than 3 million Ohioans through a network of more than 200,000 providers. If you're a provider, call our Provider Hotline at 800-686-1516. 10 2025-12-05 ODM Provider Enrollment and Assistance 1-800-686-1516 Mailing Address: Ohio Department of Medicaid Provider Enrollment Unit P. O. To access the PNM and Medicaid's single pharmacy benefit For questions not addressed on our website, please call Provider Services at 1-833-230-2102. • Your selection of “Provider Type” response is extremely important.
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