The Ohio Home Care Program

News & Program Updates

MITS PAYMENT ISSUE

On Friday, December 16, 2011 updates to MITS were made; however, an unexpected error was discovered late Friday afternoon. 399 claims adjudicated on Friday were adversely impacted by a diagnosis code error (Denial Code 459) related to the 5010 code move to production late Thursday December 15, 2011. The claims impacted by these errors last Friday denied, but will be recycled today, Monday, December 19, 2011. There will be no need for Providers to re-submit their claims. The affected claims will be paid the week of December 26, 2011.

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Attention Medicaid Providers

An update to the Medicaid Information Technology System was completed on November 4th to correct various eligibility issues with waiver recipients. ODJFS will continue to monitor eligibility issues causing denial of claims. Please check the MITS website for updates.

Click to access the MITS Website

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More Important MITS Info

Clink the links below for information about:

1. Diagnosis Codes for State Plan Home Health, Private Duty Nursing and
ODJFS-Administered Waivers

2. Payment for Multiple Visits to the Same Consumer on the Same Day

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Provider Rate Reduction

Click below to learn about the change in base payment rates for the first hour provided by agencies and independent providers for nursing and aide services delivered in a home or community setting.

Rate Reduction Details

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Important MITS Info

Click the links below for questions about:

1. MITS Access (updated 8/30/11)
2. MITS Third-Party Liability
3. MITS Code Sets (including suspended hospice claims)

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Important Provider Info

The Ohio Department of Job and Family Services (ODJFS) has moved to an online provider application system, initiated on Aug. 2, 2011. This is one of the many advances that are being made as a result of the new computer system -- the Medicaid Information Technology System (MITS).

Click to access MITS system

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Changes to Provider Provision

OHP has sent the letter below to all active Medicaid providers, with the exception of type 77 (Managed Care Plans), type 98 (Lienholder) and type 99 (Tape Intermediary). Please refer to these documents for more information...

Revalidation Letter
Frequently Asked Questions

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New Rules for OHCP Providers!

There have been recent revisions and additions to Ohio Administrative Code rules that will affect some Ohio Home Care Waiver providers. To access the rules in their entirety, click here. Access the main highlights and important information (not the full rules) by clicking either link below:

"At-a-Glance" Rule Highlights
"Did You Know?" Rule Information

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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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