Basics Of Provider Enrollment For Ohio Medicaid

1
Basics Of Provider Enrollment For
Ohio Medicaid
2
Basics Of Provider Enrollment For Ohio Medicaid
Ohio Medicaid is a government-sponsored
healthcare program that provides medical benefits
to eligible individuals in Ohio. To become a
provider for Ohio Medicaid, you must first enroll
in the Ohio Medicaid program. Here are the steps
of provider enrollment for Ohio
Medicaid Provider Enrollment for Ohio
Medicaid 1. Determine the Provider Type Ohio
Medicaid has different provider types, including
Individual practitioners, group practices,
Federally Qualified Health Centers (FQHCs), Rural
Health Clinics (RHCs), Hospitals, and Home health
agencies. When enrolling in Ohio Medicaid,
providers must determine which of these provider
types they fall under. This is important because
different provider types may have different
enrollment requirements and procedures. For
example, hospitals and home health agencies may
be subject to additional state and federal
regulations, while individual practitioners may
have fewer requirements to meet. 2. Create an
Account To enroll in Ohio Medicaid, you will need
to create an account on the Ohio Department of
Medicaids Provider Enrollment web portal. The
Ohio Department of Medicaids Provider Enrollment
web portal is an online platform that allows
healthcare providers to enroll in the Ohio
Medicaid program. Creating an account on the
portal is the first step in the provider
enrollment for Ohio Medicaid process.
3
Basics Of Provider Enrollment For Ohio Medicaid

• To create an account, you will need to provide
  your personal information, including your name,
  email address, and phone number. You will also
  need to create a username and password to access
  the portal.
• 3. Complete the Application
• Once you have created an account, you can begin
  the Ohio Medicaid provider enrollment process by
  completing the online application. The
  application will require you to provide
  information about your practice, including your
  tax identification number, National Provider
  Identifier (NPI) number, and license number. You
  may also need to provide documentation to support
  your application, such as copies of your licenses
  or certifications.
• 4. Submit Supporting Documentation
• You will also need to submit supporting
  documentation with your application, such as
  proof of licensure, liability insurance, and
  accreditation. Following are some examples of the
  types of supporting documentation you may need to
  submit
• Proof of identity You may need to provide a copy
  of your drivers license or other
  government-issued identification.
• License or certification You may need to provide
  proof that you are licensed or certified to
  practice in your field, such as a copy of your
  nursing license or medical degree.
• Proof of accreditation If you are seeking to
  enroll as a provider of certain services, such as
  home health or hospice care, you may need to
  provide documentation that your agency is
  accredited by a recognized accrediting body.

4
Basics Of Provider Enrollment For Ohio Medicaid

• Business documentation If you are enrolling as a
  provider under a business name, you may need to
  provide documentation such as articles of
  incorporation, a business license, or a tax
  identification number.
• Other documentation Depending on your specific
  circumstances, you may need to provide additional
  documentation, such as a resume, letters of
  recommendation, or proof of liability insurance.
• Its important to note that the specific
  documentation required may vary depending on the
  type of provider you are applying as and the
  services you plan to offer. You should carefully
  review the application instructions and contact
  the Ohio Department of Medicaid if you have any
  questions or concerns.
• 5. Wait for Approval
• After receiving application along with supporting
  documents, the Ohio Medicaid is reviewing the
  application to ensure that all required
  information has been provided and that the
  provider or organization meets all necessary
  qualifications and requirements for participation
  in the Ohio Medicaid program. This provider
  enrollment for Ohio Medicaid process can take
  several weeks to several months, depending on the
  complexity of the application and the volume of
  applications being processed at any given time.
  Once the Ohio Medicaid has completed its review,
  the provider or organization will receive a
  notification indicating whether their application
  has been approved or denied. If the application
  is approved, the provider or organization can
  begin participating in the Ohio Medicaid program
  and billing for services provided to eligible
  patients.

5
Basics Of Provider Enrollment For Ohio Medicaid
It is important to note that Ohio Medicaid has
specific rules and regulations that providers
must follow, such as billing and documentation
requirements, so be sure to familiarize yourself
with these rules to ensure compliance. Medisys
Data Solutions is a leading medical billing
company providing complete billing and coding
services for various medical billing specialties
including enrollment services. We can assist you
in getting enrolled for Medicare, Medicaid and
all major commercial insurance companies in your
area. To know more about credentialing and
enrollment services, contact us at
info_at_medisysdata.com / 888-720-8884
6
(No Transcript)