Beginning August 1, the Ohio Department of Medicaid (ODM) will temporarily stop accepting new provider enrollment applications as they transition to the new Provider Network Management (PNM) module. New providers should enroll by July 31 or plan to hold enrollment applications until October 1. Information about OhioRISE provider enrollment during this time is forthcoming.

Beginning August 31, all provider demographic and agent maintenance update functionality will be closed for conversion of data in MITS. Enrolled providers should update their demographic information in MITS by August 30 or plan to hold updates until October 1. Please visit the following link to the MITS Secure Portal Login: https://portal.ohmits.com/Public/MenuRedirect.aspx?Login%20Redirect  

Please make sure to add or update all practice locations and provider affiliations in advance of data conversion.

On October 1, provider enrollment and maintenance-related activities will resume and be accessed using the PNM. For more information about PNM and trainings, please visit: https://managedcare.medicaid.ohio.gov/managed-care/centralized-credentialing

We are sharing the information that is currently available from ODM and encourage organizations to plan accordingly. We are continuing conversations with ODM to obtain more detailed information on this temporary halt in provider enrollment and the anticipated timeline for held enrollments and provider updates during this transition timeframe to be processed after the PNM goes live on October 1.

As outlined above, the temporary pause for new Medicaid provider enrollment will be from August 1 to September 30, and the temporary pause in making changes to currently enrolled providers will be from August 31 to September 30. ODM shared that their current provider enrollment rule 5160-1-17.4 states that the effective date of a new provider agreement may be made retroactive for up to 12 months prior to the date of application if the provider was properly licensed or certified, and it is anticipated that ODM will backdate those provider enrollments during this time frame.