New Medicaid
Technology System in December 2010!
On December 7, 2010, the new system called MITS will change the way
that providers access information and Medicaid will become more of a
paperless system. It's about 100 days before MITS goes live. An
overview of the system changes will be available for non-agency
providers and home health agencies, as well as other provider types.
Let's get ready for the future.
Click to register for training
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New Provider Service Type:
Home Care Attendant Services
The Ohio Department of Jobs and Family Services (ODJFS) is introducing a new provider service type, “Home Care Attendant Services” (HCAS) provider, which will permit non-licensed individuals to perform specific “skilled tasks” as a Waiver provider. Providers who work under this provider type must meet certain criteria and be requested/selected by the consumer before beginning services. Click below to learn more about the criteria and circumstances under which this provider type will be authorized.
HCAS Provider Training Webinar
HCAS Training PowerPoint
HCAS Billing Guidelines
HCAS Medicaid Maximum Table
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My Care, My Choice and
We have, for almost four years, worked with a group of diverse stakeholders to expand consumer choice and control in ODJFS-administered waivers (the Ohio Home Care Waiver, Transitions Developmental Disabilities (DD) Waiver, Transitions Carve-Out Waiver). These manuals are a direct result of that work. They are permanently available in the "Consumer Handbook / Program Information" box at www.myohiohcp.org.
Manual 1: My Care, My Choice
Manual 2: Home Care Attendant
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In December 2010, Ohio Medicaid will replace its 20+ year old Medicaid Management Information System (MMIS) for claims processing with the enhanced Ohio Medicaid Information Technology System (MITS). Also included as part of MITS is the new enhanced MITS Web Portal. Progress continues on the development and testing of this new system, which will bring Ohio Medicaid into the 21st century! With state-of-the-art technology and business processes, claims will be processed accurately, timely and in "real time" for providers and other stakeholders.
Click here for more information!
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Free Provider Orientation Classes
Did you know free Provider Orientation classes are held at the CareStar Columbus and Cleveland offices every month? These classes Provide helpful information, but are not mandatory.
Click here to learn more!
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New Provider Service Type:
Home Care Attendant Services
The Ohio Department of Jobs and Family Services (ODJFS) is introducing a new provider service type, “Home Care Attendant Services” (HCAS) provider, which will permit non-licensed individuals to perform specific “skilled tasks” as a Waiver provider. Providers who work under this provider type must meet certain criteria and be requested/selected by the consumer before beginning services. Click the links below to learn more about the criteria and circumstances under which this provider type will be authorized.
HCAS Provider Training Webinar
HCAS Provider Training PowerPoint
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How to Bill for Emergency Services
Did you know that services provided in an emergency situation must still be approved by the Case Manager before billing? To learn more about obtaining ASP authorization for services rendered in an emergency situation and reporting such occurrences to your CM, click here!
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Attention Providers-Billing Precaution
In the new system that ODJFS is developing to pay Medicaid claims, claims edits will reject billing for procedure codes that are not specifically authorized on a waiver participant's All Services Plan. While the waiver and state plan nursing and aide services are similar, it is important that procedure codes are billed as authorized on the All Services Plans. To avoid claims rejections for inappropriate procedure code billing in the future, providers MUST SUBMIT CLAIMS with only the AUTHORIZED procedure code(s).
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Important 1099 Tax Form Info!
According to Ohio Health Plan's Provider Network Management, the 1099s for tax information for 2009 were mailed to all providers last week. The United States Postal Service is starting to return the 1099 forms with "bad" addresses. If you moved during the past year and did not receive your 1099, click here to learn what to do.
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