The Next Generation managed care plans, new Electronic Data Interchange (EDI) module, and Fiscal Intermediary (FI) will be implemented on February 1, 2023.
The Next Generation managed care plan changes and EDI trading partner transactions do not apply to MyCare Ohio plans, which will continue to provide benefits to Ohioans who receive both Medicaid and Medicare benefits, with enhanced coordination of medical, behavioral, and long-term care services.
Where to go for PROVIDER assistance
Ohio Medicaid providers can reach out to the help desk listed below or review the February 1 Ohio Medicaid Provider Help Desk One-Pager.
Absorb, the learning management system (LMS), is where the self-paced and virtual training sessions are accessed. If you do not have an account in the LMS, it’s important that you create one to ensure you can access all training sessions, answer forms, and view a variety of Provider Network Management (PNM) module resources. Access the job aid and follow the steps to create your account and register for training.
On Feb. 1, ODM will implement the new Electronic Date Interchange (EDI) module as part of the Next Generation program. ODM has released a fact sheet with the top eight things you need to know.
To learn more about the PNM module and Centralized Credentialing, visit the PNM and Centralized Credentialing page on the Next Generation website. If you are experiencing any technical issues accessing the PNM module or have specific questions, please contact Medicaid’s Integrated Help Desk (IHD) at 800-686-1516 or IHD@medicaid.ohio.gov. The IHD is open Monday - Friday, 8 a.m.- 4:30 p.m. Eastern time.