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August 10-19, 2021

Medicare/Medicaid Updates

Register for the August Webinars!

The Ohio State Medical Association works with Ohio’s Medicare and Medicaid payers to provide physician practices with current and proposed information policies, news, tips, resources and more – keeping you informed, in compliance, and helping to get your claims paid in a timely, appropriate way.

A key focus this year will be on the significant changes to the Ohio Department of Medicaid (ODM) Managed Care program. ODM is building its next generation managed care program targeted to launch in January 2022. Strategic components of the program include the following:

  • Single Pharmacy Benefit Manager;
  • Fiscal Intermediary (single point of entry for all provider claims and prior authorization requests);
  • Provider Network Management;
  • Centralized Credentialing; and,
  • OhioRISE (Resilience through Integrated Systems and Excellence) which is a specialized managed care program for youth with complex behavioral and multi-system needs.

Tuesday, Aug. 10             
11:30 am – 1:30 pm  > CGS Administrators live presentation and Q&A (same as Aug. 17)


Wednesday, Aug. 11      
11:30 am – 1:30 pm  > Ohio Medicaid live presentation and Q&A


Thursday, Aug. 12           
11:30 am – 1:00 pm  > Live Q&A with:

  • Molina Healthcare of Ohio
  • United Healthcare Community Plan
  • AmeriHealth Caritas
  • Other payers TBA

Tuesday, Aug. 17            
1:30 – 3:30 pm  > CGS Administrators live presentation and Q&A (same as Aug. 10)


Wednesday, Aug. 18     
11:30 am – 1:00 pm  > Live Q&A with:

  • Anthem Blue Cross and Blue Shield
  • CareSource
  • CliniSync HIE
  • Other payers TBA

Thursday, Aug. 19
11:30 am – 12:30 pm > Gainwell Technologies presentation and Q&A

 

Register to Attend >

(One registration gives access to all event dates.)

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2021-08-10 2021-08-19 America/Detroit Medicare/Medicaid Updates The Ohio State Medical Association works with Ohio’s Medicare and Medicaid payers to provide physician practices with current and proposed information policies, news, tips, resources and more – keeping you informed, in compliance, and helping to get your claims paid in a timely, appropriate way. A key focus this year will be on the significant changes to the Ohio Department of Medicaid (ODM) Managed Care program. ODM is building its next generation managed care program targeted to launch in January 2022. Strategic components of the program include the following: Single Pharmacy Benefit Manager; Fiscal Intermediary (single point of entry for all provider claims and prior authorization requests); Provider Network Management; Centralized Credentialing; and, OhioRISE (Resilience through Integrated Systems and Excellence) which is a specialized managed care program for youth with complex behavioral and multi-system needs. Tuesday, Aug. 10              11:30 am – 1:30 pm  > CGS Administrators live presentation and Q&A (same as Aug. 17) Wednesday, Aug. 11       11:30 am – 1:30 pm  > Ohio Medicaid live presentation and Q&A Thursday, Aug. 12            11:30 am – 1:00 pm  > Live Q&A with: Molina Healthcare of Ohio United Healthcare Community Plan AmeriHealth Caritas Other payers TBA Tuesday, Aug. 17             1:30 – 3:30 pm  > CGS Administrators live presentation and Q&A (same as Aug. 10) Wednesday, Aug. 18      11:30 am – 1:00 pm  > Live Q&A with: Anthem Blue Cross and Blue Shield CareSource CliniSync HIE Other payers TBA Thursday, Aug. 1911:30 am – 12:30 pm > Gainwell Technologies presentation and Q&A   Register to Attend > (One registration gives access to all event dates.) ----