Source: Ohio Department of Medicaid
Ohio Medicaid is committed to doing better for the people of Ohio. Keeping you current on agency policies is core to that effort.
New Ohio Administrative Code (OAC) rule 5160-1-42, “Provider Credentialing,” will be effective Saturday, October 1. This rule sets forth credentialing requirements for eligible, active providers who enroll with the Ohio Department of Medicaid (ODM). As of Saturday, October 1, the credentialing process will be completed by ODM or its credentialing designee rather than the individual managed care plans.
This rule provides the process and requirements ODM or its credentialing designee will follow for applicable providers that require credentialing for their specific provider type. This rule also identifies the required information needed to complete the credentialing process and details any additional actions necessary on behalf of the provider or facility to complete credentialing.
Visit the ODM website to learn more.