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10/17/2018

ODM Finalizing Contract with Provider Gateway for 9401 Processing

At this month’s meeting with long-term care provider associations, the Ohio Department of Medicaid (ODM) shared that ODM has nearly finalized a contract with Parthenon Global Services, based out of Cleveland for Provider Gateway-LTC to provide an automated solution to 9401 processing.  Currently, approximately 350 providers contract with Provider Gateway; however, per the contract with ODM, Parthenon (funded through ODM) will be reaching out to all nursing facilities and counties in the coming months. ODM anticipates that this engagement with Provider Gateway will both improve communication between providers and county agencies, and also expedite the timeframe for case processing.

ODM shared that counties will no longer need to wait on the Area Agency on Aging to open the “long-term care detail screen”, but noted that nursing facilities will still need to refer to MITS to obtain patient liability information. Nursing facilities will continue to report changes related to eligibility via ODM Form 10203 "Report a Change for Medical Assistance" which will now be automated. There will be a messaging functionality, but this will not pertain to PL or messaging about effective dates.

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