2023 | Date |
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Updates to Diabetes Benefits in 2024 – Quick Reference Guide | 12/31/2023 |
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Coverage of DexCom & FreeStyle Continuous Glucose Monitors (CGMs) | 12/31/2023 |
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Enhanced Reimbursement for Diabetes Self-Management Education | 12/31/2023 |
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Quality Enhancer Incentive Program | 12/29/2023 |
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Technical Assistance Intervention Package ePRAF | 12/29/2023 |
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Home Health Services Calendar Limits | 12/06/2023 |
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Provider Network Management (PNM) Module Update – UPDATE | 12/04/2023 |
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Avalon Policy Updates December 2023 | 12/01/2023 |
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Policy Updates - December 2023 | 12/01/2023 |
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Pharmacy Policy Updates December 2023 | 12/01/2023 |
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CMS Implements New Code Edits | 11/13/2023 |
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Pharmacy Policy Update - Beyfortus & Synagis | 11/09/2023 |
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NIA Policy Updates - November 2023 | 11/01/2023 |
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Policy Updates November 2023 | 11/01/2023 |
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Provider Network Management (PNM) Module Update | 10/16/2023 |
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Annual Notice of Requirements – UPDATE | 10/02/2023 |
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Avalon Policy Updates (Q3/Q4) October 2023 | 10/01/2023 |
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Avalon Policy Updates (Q1) October 2023 | 10/01/2023 |
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Versant Policy Updates October 2023 | 10/01/2023 |
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NIA Policy Updates October 2023 | 10/01/2023 |
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Policy Updates October 2023 | 10/01/2023 |
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DentaQuest Policy Updates - October 2023 | 10/01/2023 |
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Policy Updates October 2023 | 10/01/2023 |
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Annual Notice of Requirements – This notification has been revised. See notification dated 10/02/2023 | 09/13/2023 |
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Oncology Drug Shortage Notification | 09/13/2023 |
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Coding and Billing Updates | 09/01/2023 |
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Policy Updates September 2023 | 09/01/2023 |
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September 2023 Avalon Policies - Effective 11/1/23 | 09/01/2023 |
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September 2023 Versant Vision Policies - Effective 11/1/23 | 09/01/2023 |
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2023 Q3 and Q4 CareSource Live Provider Education and Training Series | 08/22/2023 |
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Prior Authorization Requirement Update | 08/18/2023 |
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Policy Updates August 2023 | 08/01/2023 |
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Multi-Factor Authentication Implementation | 08/01/2023 |
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Rejection of Claims that Bypass the ODM Fiscal Intermediary – UPDATE | 07/21/2023 |
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Level 5 Evaluation and Management Claim Update | 07/21/2023 |
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FREE Virtual CME Training Available! | 07/20/2023 |
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Payment for Determination of Refractive State (92015) | 07/19/2023 |
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Policy Updates July 2023 | 07/01/2023 |
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Synagis Program Update | 06/22/2023 |
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Pregnancy Risk Assessment Form (ePRAF) Education Series | 06/21/2023 |
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Enteral B Codes | 06/20/2023 |
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DentaQuest Policy Updates June 2023 | 06/01/2023 |
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Policy Updates June 2023 | 06/01/2023 |
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Versant Policy Updates - May 2023 | 06/01/2023 |
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Ohio Pulsewrx Program for Continuous Glucose Monitoring | 05/31/2023 |
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2023 Q2 CareSource Live Provider Education and Training Series | 05/25/2023 |
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Closing Diabetes Retinopathy Screening Care Gap | 05/24/2023 |
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Withdraw Approval of Makena | 05/22/2023 |
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Rejection of Claims that Bypass the ODM Fiscal Intermediary – UPDATE | 05/10/2023 |
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Public Health Emergency Ending - Resumption of Preadmission Screening and Resident Review (PASRR) Requirements | 05/05/2023 |
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ODM Claims Rejection Logic | 05/04/2023 |
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Rejection of Claims Based on the Provider Master File | 05/02/2023 |
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Rejection of Claims that Bypass the ODM Fiscal Intermediary Summary – This notification has been revised. See notification dated 5/10/2023 | 05/02/2023 |
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Claims Readmission Policy | 04/12/2023 |
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Public Health Emergency Ending – Updates to Benefits and Rates | 04/10/2023 |
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CAHPS Email Campaign and Quality Patient Experience Guide | 04/03/2023 |
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March 2023 OH MCD Turning Point Policy Updates | 04/01/2023 |
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Prior Authorization Requirement for Non-Emergent NICU Transfers and Transports | 03/30/2023 |
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Q1 2023 CareSource Live Instructor-Led Provider Training and Education Series – UPDATE | 03/17/2023 |
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ODM EDI Claims and Bridge Payments for Providers | 03/14/2023 |
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Medicaid Coverage Redetermination Resumes April 1 | 03/10/2023 |
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Pregnancy Risk Assessment Form (ePRAF) Education Series | 03/08/2023 |
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Pulsewrx for Diabetes Monitoring | 03/06/2023 |
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Policy Updates March 2023 | 03/01/2023 |
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February 2023 Avalon Policy Updates | 03/01/2023 |
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Pharmacy Policy Updates April 2023 | 02/27/2023 |
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CareSource and AbsoluteCare Partner to Improve Health Outcomes | 02/22/2023 |
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Q1 2023 CareSource Live Instructor-Led Provider Training and Education Series This notification has been revised. See notification dated 03/17/2023 | 02/21/2023 |
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Electronic Data Interchange (EDI) Reminder | 02/17/2023 |
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Guidance Regarding 270 Eligibility Inquiry, Claim Submissions and Payer ID | 02/13/2023 |
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Next Generation of Ohio Medicaid Managed Care: Payer ID Change - UPDATE | 01/31/2023 |
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Program Delay - Phase 3 Launch of ODM Next Generation Managed Care - UPDATE | 01/27/2023 |
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Next Generation December 1 Launch Training and Resources - UPDATE | 01/27/2023 |
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CareSource and TurningPoint Partnership for Cardiac and Musculoskeletal Surgical Procedures - UPDATE | 01/26/2023 |
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Ohio Next Generation Managed Care: New ODM Communication Available | 01/24/2023 |
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Postpartum Depression Screening Promotion | 01/09/2023 |
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Medicaid Advisory Letter (MAL) 666 Update | 01/06/2023 |
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Next Generation December 1 Launch Training and Resources - UPDATE | 01/05/2023 |
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Readmission Pre-Pay Claims Review | 01/03/2023 |