Ohio Medicaid Provider Enrollment Phone Number. 20. If you're a provider, call our Provider Hotline at 800-68
20. If you're a provider, call our Provider Hotline at 800-686-1516. You can also reach us by contacting one of our Do Providers need to notify Ohio Medicaid of address changes? Yes, per the Medicaid Provider agreement, a Provider must inform Provider Enrollment at 1‐800‐686‐1516 within thirty days of any • CareSource: 800-488-0134 • Molina HealthCare of Ohio: 855-322-4079 • United Healthcare Community Plan: 877-842-3210 • Providers interested in becoming a MyCare Ohio provider. 1, 2022, providers utilize the Provider Network Management (PNM) module to access the MITS Portal. Through this link, providers submit and adjust fee-for-service claims, prior authorization The Ohio Department of Medicaid (ODM) is responsible for credentialing all Medicaid Managed Care providers. Information about provider enrollment and Ohio Medicaid Members – Update your Contact Information To stay in the know about Ohio Medicaid’s program changes and updates, make sure to keep your Yes, per the Medicaid Provider agreement, a Provider must inform Provider Enrollment at 1‐800‐686‐1516 within thirty days of any changes in: • licensure • certification or registration status • Learn how to communicate with CareSource: phone, fax, portal, email. Find contact info, hours, and registration details for providers. gov. Box 1461 Columbus, 4. You can also reach us by contacting one of our Contracting Managers Monday through Friday from 8 a. Medicare and Marketplace: 8 a. Eastern Time. Learn more about Ohio's largest state agency The Ohio Department of Medicaid (ODM) provides health care coverage to more than 3 million Ohioans through a network of more than 200,000 providers. • Your selection of “Provider Type” response is extremely important. For questions not addressed on our website, please call Provider Services at 1-800-488-0134 Monday through Friday from 7 a. Please call Provider Services at 1-866-296-8731. Do Providers need to notify Ohio Medicaid of address changes? Yes, per the Medicaid Provider agreement, a Provider must inform Provider Enrollment at 1-800-686-1516 within thirty days of any Care providers who need technical assistance can contact ODM’s Integrated Help Desk at 800-686-1516 and follow the prompts for Provider Enrollment or email IHD@medicaid. m. If you're a provider, call our Provider Hotline at 800-686-1516. To provide services as a Non-Participating Provider, you 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 Our web-based provider application is designed to walk you through the steps in order to submit all the information that the Ohio Medicaid program needs to Supplemental data options (PDF) Ohio Medicaid managed care requirements Ohio Administrative Code Ohio Revised Code If you need more information or can't find an answer to your question, check your Care providers who need technical assistance can contact ODM’s Integrated Help Desk at 800-686-1516 and follow the prompts for Provider Enrollment or email IHD@medicaid. ohio. The credentialing and recredentialing Contact Information Business Hours Medicaid: 7 a. This helps make sure that providers are qualified and that the As of October 1, provider enrollment applications must be submitted using Ohio Medicaid's new Provider Network Management (PNM) Module. If you're an Ohio Medicaid member, call our Consumer Hotline at 800-324-8680. Learn . PHONE SUPPORT 833-491-0344 TTY-833-655-2437 Call our Customer Support Representatives 24 hours per day, 7 days a week. The Ohio Department of Medicaid (ODM) provides health care coverage to more than 3 million Ohioans through a network of more than 200,000 providers. to 8 p. Otherwise, follow the links below for additional resources, or Version: (OH PROD) V3. Enrollment Ohio Medicaid follows federal rules that say all providers who care for people with Medicaid must be signed up with the state. O. Ohio Medicaid Members – Update your Contact Information To stay in the know about Ohio Medicaid’s program changes and updates, make sure to keep your If you are providing services as a Non-Contracted Provider, you need to register with Buckeye. MyCare Ohio: 8 a. To access the PNM and Medicaid's single pharmacy benefit For questions not addressed on our website, please call Provider Services at 1-833-230-2102. We are streamlining provider enrollment and support services to make it easier for you to work with us. Interactive Voice Response System (IVR) provides 24/7/365 access to information regarding client eligibility, claim and payment status, and provider information. If you are unsure of what provider type to request, you should contact the Integrated Help Desk at Ohio Medicaid is changing the way we do business. to For provider questions and claims issues, please contact our Provider Services team. Otherwise, follow the links below for additional resources, or As of Oct. 10 2025-12-05 ODM Provider Enrollment and Assistance 1-800-686-1516 Mailing Address: Ohio Department of Medicaid Provider Enrollment Unit P. to 5 p.