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Reminder: Medicaid New Programming Launches Feb. 1


Over the last several months, OSMA has provided information to members related to major program changes to the Ohio Medicaid program starting Feb. 1. Ohio Medicaid has provided a one-page overview document for practices to ensure you’re aware of the changes and what you need to do to prepare. Please take a few minutes to review the document before next Wednesday and reach out to the relevant contacts with any questions.

 Read Overview Page >


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.

Provider Network Management module refresher training

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.

Training schedule:

The training schedule has been posted and is available on the Next Generation website. Training module topics include:


Electronic Data Interchange (EDI) module:
8 things you need to know to prepare

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.

 Read Top 8 Things to Know

For more information:

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 The IHD is open Monday - Friday, 8 a.m.- 4:30 p.m. Eastern time.


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