ODM Reminder to Review Provider Records

As we have previously shared, the Ohio Department of Medicaid (ODM) must validate organization information in the PNM against the Social Security Administration Death Master File. Provider organizations have previously been and will be terminated from Medicaid if deceased board members or inaccurate SSNs are listed under their organizational profile in the PNM. Medicaid will conduct this validation on an ongoing basis and will be doing so this weekend. As such, ODM sent a reminder to providers with instructions on how to verify information is accurate.

Additionally, ODM continues to validate individual provider licensure information against e-license monthly and will do so this weekend as well.  Behavioral health providers should ensure they have a process to update information related to ownership, control interest, and managing employees in the PNM for their organization and licenses for individual providers as these validations will be conducted monthly.

Below is the notice from ODM.  

Monthly Reminder!

Review and update provider records by April 26 to maintain enrollment as an Ohio Medicaid provider.

The Ohio Department of Medicaid is required by federal and state statutes to administer and monitor the integrity of its program. Central to that effort is working with Medicaid providers to ensure all reporting and administrative requirements are met. It is through these required checkpoints that the state can ensure Ohioans covered by Medicaid are receiving care from qualified, credentialed providers.

Each month Ohio Medicaid conducts two comprehensive reviews of provider and provider organization records maintained in the Provider Network Management portal to verify.

• Organizational ownership and employee management records, including listed social security numbers. For guidance see: Owner_Managing Employee Update Instructions.docx.
• Status of professional licenses and accreditations. For guidance see: Updating or Adding Professional License Information - Medicaid Provider Network Management Module.pdf

Failure to maintain these records in keeping with Ohio Medicaid's monthly verification schedule can result in immediate enrollment termination.

This email serves as your monthly reminder to review and update these records in the Medicaid Provider Network Portal each month to maintain your enrollment as an Ohio Medicaid provider.

For more information:

Technical support is available if you have questions regarding what’s required, or to check the status of your records.

Contact Ohio Medicaid’s Integrated Helpdesk at 800-686-1516 and follow the prompts for provider enrollment (option two, option two) or email [email protected]. Representatives are available Monday-Friday, 8 a.m.-4:30 p.m. Eastern time.

Ohio Council Hiring for Child and Family Services Policy Manager

The Ohio Council of Behavioral Health & Family Services Providers is seeking to add a Child and Family Services Policy Manager position to our dynamic public policy team.  The new position leads, supports, and collaborates to impact public policy and advocacy focused on children, youth, and families to advance access to prevention, community-based mental health, substance use, and family services across Ohio. 

The Ohio Council of Behavioral Health and Family Services Providers, located in Columbus, Ohio, is a statewide trade and advocacy association representing over 170 private businesses providing community-based prevention, substance use, mental health, and family services throughout Ohio.  Our member organizations care for individuals and families across the lifespan by offering person-centered services and support. The Ohio Council offers credible and timely state and federal policy advocacy, training and technical assistance, and business support to member organizations so they can focus on delivering exception care, healing, hope and recovery.

The Child and Family Services Policy Manager will be responsible for collaborating as part of the public policy team to primarily support child and family services by analyzing state and federal healthcare policies and regulations; develop policy positions, state and federal advocacy, and technical assistance briefs; providing technical assistance to member organizations on child, youth and family services within a systems of care service delivery model; support event planning; manage the Youth and Family Services membership committee; and provide project management on advocacy and public policy initiatives.  This position reports to the CEO and is part of a mission-focused, collaborative team dedicated to providing exceptional member services, and technical assistance with best business and clinical practices.

The ideal candidate will possess a bachelor’s degree in social work, public health, public policy, business administration, or a related field and five (5) years of professional work experience with community behavioral healthcare.  Experience in direct treatment, clinical supervision, and compliance experience within a systems of care approach for youth and families or related healthcare or public health administration experience with youth and families is required. A master’s degree and behavioral health professional licensure is desired.  This individual will also demonstrate strong verbal communication, technical writing, and public speaking skills; proficiency in Microsoft Office; experience in reading and analyzing public policy; exceptional customer service and collaboration skills; and the ability to work with members, other behavioral health and social service providers, community partners, and the state administration.

Be part of our growing team! The Ohio Council offers competitive salary, comprehensive benefits, and a collaborative and flexible work environment.  The anticipated starting salary range for this position is $70,000 - $90,000 commensurate with experience. Send resume and cover letter to CHILD & FAMILY SERVICES POLICY MANAGER to [email protected]  by May 8, 2024. 

The FTC Proposes Banning Noncompete Agreements

The Federal Trade Commission on Thursday proposed banning employers from requiring employees to sign noncompete agreements, which prevent workers from taking positions at competitors for a period of time after they leave a job.

This would be a big change in the business world, where the agreements are widely used. The FTC estimates that 30 million people, or one in five workers, would be impacted, and the rule could increase wages by nearly $300 billion a year.

The proposal comes more than a year after the Biden administration issued an order directing the agency to curb the use of noncompetes in order to increase competition across the economy.

Noncompetes were once used mainly to keep high-paid executives from jumping ship to rivals and taking their insider knowledge with them. But they have become more common, with even low-wage workers subject to these restrictions.

The FTC's new proposal would make it illegal for an employer to enter into a noncompete with a worker, and would require companies to rescind existing agreements.

The Ohio Council Welcomes New Affiliate Member, Fortis Lux

Fortis Lux in New York, New York - Quay Dixon, Head of Sales, can be reached at [email protected] or by phone at (614) 579-3500.

Fortis Lux is a financial planning boutique firm that guides companies and individuals to make financial decisions based on what is most important to them, at any stage of corporate or personal planning. 

Click here to learn more about Fortis Lux!