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Ohio is home to more than 200,000 active Medicaid providers. The partnership between Ohio Medicaid and its provider network is critical in ensuring reliable and timely care for beneficiaries across the state.
If you're a provider, call our Provider Hotline at 800-686-1516. If you're an Ohio Medicaid member, call our Consumer Hotline at 800-324-8680. Otherwise, follow the links below for additional resources, or complete the Contact Us Form and we'll get back to you.
If you plan to bill Medicaid, the OhioRISE plan, or Medicaid managed care organizations for CANS assessments, you must be an enrolled Medicaid provider and add the “ORC – CANS Assessor” specialty to your enrollment.
Call Us: 1-800-324-8680 Customer Service: Mon-Fri 7am-8pm and Sat 8am-5pm ET
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 to your call. 4.
National Provider Identifier (NPI) REFERENCE GUIDE. THE OHIO DEPARTMENT OF MEDICAID. NOTICE: Ohio Administrative Code (OAC) rule 5160-1-17 took effect on November 25, 2019 and requires all providers to obtain a National Provider Identifier (NPI) number. In accordance with paragraph (D) of the rule, any provider identified by the National ...
Option 3: Support with Medicaid Provider Application, Enrollment, and waiver support. You can contact ODM’s Integrated Helpdesk at 800-686-1516 or email IHD@medicaid.ohio.gov . Representatives for the IHD are available Monday-Friday, 8 a.m.-4:30 p.m. Eastern time.
Steps to Obtain a Medicaid Provider ID Number Last updated: August 2021 1. You will need to submit a signed W-9 form for the application. Electronic form available here (you will need to print and sign): https://www.irs.gov/pub/irs-pdf/fw9.pdf 2. Go to https://www.medicaid.ohio.gov/ 3. Hover over “Resources for Providers” then “Enrollment ...
Ordering, Prescribing or Referring (ORP) Provider only. Ohio Medicaid will not make payments to an ORP provider, but will use their NPI number for processing claims for services rendered by a participating Medicaid provider. This application will be available at: http://medicaid.ohio.gov/PROVIDERS/EnrollmentandSupport/ProviderEnrollment.aspx .
All providers must complete a CMH Provider Application Form and sign a CMH Provider Agreement. If a pharmacy is a subsidiary of a large national pharmacy chain, it may be enrolled simply by calling CMH and requesting same from provider enrollment. To obtain provider application materials, contact CMH Provider Management at (614) 466-1700 or .