Providers are independent business owners, and as such are responsible for billing the State for services rendered, following their claims as they are processed through the system, and maintaining documentation of services. Below is some information to help providers understand their responsibilities.
ATTENTION MEDICAID WAIVER PROVIDERS: Due to Columbus Day Holiday on Monday 10/13/08, the direct deposits and checks will be delayed one day. Payments will hit your bank account and checks will be mailed on 10/17/08.
ODJFS did a mass mailing sent to ODJFS providers that have not billed in the last two years. If you received this letter please check the box marked "keep my Medicaid Provider agreement active" and return to ODJFS by the due date, which is 45 days from the date of the letter. The letter is dated February 22, 2008.
Providers failing to respond to the letter will result in termination of their Medicaid Provider Agreement.
If terminations occur, the provider will need to be re-instated. Please contact ODMRDD Provider Certification at 1 (877) 289-3636 or at certification.support@odmrdd.state.oh.us Once notified we will ensure that re-instatement packets are mailed and marked priority once we receive them back from the provider.
The Waiver Billing and the Provider Support Service Units work together to assure that the Ohio Department of Mental Retardation and Developmental Disabilities (ODMRDD) provider community is paid in a timely manner. If there is a problem with your billing or reimbursement, please call Provider Support Services at (800) 617-6733 or e-mail Provider Support to get any issues resolved.
When contacting Provider Support Services, please provide your full name, and, agency name (if applicable), your ODMRDD contract billing number, phone number including area code, where you can be reached between 8:00 a.m. and 4:30 p.m., and a brief description of the problem.
Our goal is to return your call or e-mail as soon as were able to. We aim for a 48 hour turnaround. Please note: When leaving a message, speak clearly and slowly. Make sure to give all information requested in order for timely assistance.
If providers wish to come in person to discuss billing issues, please be aware that HIPPA regulations require that we see providers by appointment only. We will not be available to see providers on a "drop-in" basis. Making an appointment also enables us to pull your records in advance so that we may serve you more effectively. Thank you.
Medicaid Waiver Billing Instructions
Error codes for claims that are ‘marked as errors’ by ODMRDD
Denial codes for claims that are "marked as denied" by ODJFS
Downloadable Forms and Instructions regarding Form Completion
Waiver Billing FAQ’s and FYI’s