It is imperative that the pecialties page in the Provider Network Management module is accurate. This information is used for provider directories and sent to the managed care entities. For further details, view the ODM Press article.
Fee Schedules
You can access Ohio Department of Medicaid fee schedules on the Schedules and Rates page of the Ohio Medicaid website. You can also access them via the PNM home page, by clicking on the “Fee Schedule” tab and following the prompt to the hyperlink. Note: you do not need to be logged into PNM to access the “Fee Schedule” tab.
Ohio Department of Medicaid Rate Increases
Ohio Department of Medicaid (ODM) is pleased to announce the rollout of reimbursement rate increases, totaling $3.4 billion per year, effective January 1, 2024. This investment demonstrates Governor DeWine's commitment to support providers as they continue delivering the highest level of care for Ohio’s residents.
To learn more about the provider rate increases, including rate trackers and frequently asked questions, visit the ODM budget webpage on the Ohio Medicaid website. For additional assistance, providers can contact the ODM Integrated Helpdesk at 800-686-1516 or IHD@medicaid.ohio.gov. Representatives are available 8 a.m.-4:30 p.m. Eastern time, Monday – Friday.
Important: Revalidations Update
If you are currently due for a revalidation in the Provider Network Management (PNM) module, it is imperative that you take immediate action to complete and submit your revalidation application to renew your Ohio Medicaid Provider Agreement. ODM will begin terminating providers who fail to complete their revalidation prior to their specified deadline, starting January 23, 2024. For further details, view the