The Ohio Department of Medicaid (ODM) Provider Network Management (PNM) module offers healthcare providers a comprehensive digital platform for managing critical healthcare administrative tasks. This secure online portal provides essential tools and resources for Medicaid providers across Ohio.
Official Portal Link
- Provider Network Management Portal: https://ohpnm.omes.maximus.com/OH_PNM_PROD/Account/Login.aspx
What Providers Can Do
The PNM module empowers healthcare providers with several key functionalities:
- Access provider directory
- Utilize provider search capabilities
- Explore educational and training resources
- Review fee schedules
- Submit and manage cost reports
- Manage prior authorization processes
Access and Authentication
Login Requirements
- All users must log in using their OH|ID single sign-on credentials
- Providers needing assistance can contact the ODM Integrated Help Desk
Provider Support
Integrated Help Desk
- Phone: 800-686-1516
- Email: [email protected]
- Support Hours: 8 a.m. – 4:30 p.m. Monday-Friday (Eastern Time)
Recent Important Updates
Prior Authorization Changes
- Effective August 1, 2025: Claims without approved prior authorization will be denied
- Warning period currently in effect with detailed warning edits on remittance advice
Cost Report Transition
- September 1, 2025: Online Cost Report Tool (OCRT) will replace Automated Cost Report Software
- Providers must transition to the new web portal for cost report submissions
Training Opportunities
Provider Network Management Module
- Training scheduled for August 19 – 28
- Registration through Absorb Learning Management System
- Recommended for providers needing module familiarization
Security and Compliance
User Responsibilities
- Users are responsible for all activities under their account
- Unauthorized access may result in account termination
- All system activities may be monitored
Privacy Considerations
- Confidential information access requires strict adherence to terms
- Users must immediately report unauthorized information access
- No expectation of privacy while using the system
Contact Information
Provider Enrollment and Assistance
- Helpline: 1-800-686-1516
- Mailing Address:
Ohio Department of Medicaid
Provider Enrollment Unit
P.O. Box 1461
Columbus, OH 43216-1461
Unprovided Information
The following details were not explicitly available in the source documents:
- Detailed app download instructions
- Specific billing portal features
- Comprehensive step-by-step login process
The Ohio Medicaid Provider Network Management portal represents a critical digital infrastructure for healthcare providers, offering secure, centralized access to essential administrative tools and resources.
Disclaimer: Providers should always refer to the most current ODM guidelines and contact the Integrated Help Desk for the most up-to-date information.
FAQ
How do I check my provider enrollment status for Medicaid in Ohio?How do I check on the status of my application? Once an application has been submitted, you can go to the Medicaid Provider Portal to check the status. From the providers home page select the Registration ID of interest. Once you select the registration id link you will be taken to the ”Provider Management Home” page.
Does Medicaid have a portal?Our portal makes it easy to find what you need in just a few clicks. All members of Health Partners Plans Medicaid have access to the portal. Members with an existing account will need to re-register. We apologize for the inconvenience, however, this enables us to provide the best experience possible.
How do I check my Ohio Medicaid status?
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2. Log in or create an account:
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3. Check your coverage details:Once logged in, you should be able to view your Medicaid coverage status, including whether you are currently enrolled and any relevant details.
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Policy Matters Ohiohttps://policymattersohio.orgAre you still covered by Ohio Medicaid? Check to be sure.Check the status of your coverage using the Ohio Benefits Self Service Portal at benefits.ohio.gov. Update your address on the Department of Medicaid website.
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4. Update your information:If you need to update your address or other personal information, you can do so through the portal.
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5. Contact Ohio Medicaid if needed:If you have questions or need further assistance, you can find contact information on the Ohio Department of Medicaid website.
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Policy Matters Ohiohttps://policymattersohio.orgAre you still covered by Ohio Medicaid? Check to be sure.Check the status of your coverage using the Ohio Benefits Self Service Portal at benefits.ohio.gov. Update your address on the Department of Medicaid website.
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Anthemhttps://www.anthem.comAm I Eligible For Medicaid? | Ohio Anthem …You can check your eligibility online through the OH Medicaid website.
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Is Ohio Medicaid the same as CareSource?Medicaid health care coverage is available for eligible Ohioans with low income, pregnant women, infants and children, older adults and individuals with disabilities. CareSource Medicaid is available across the state of Ohio. When you apply for Ohio Medicaid, you can choose CareSource as your managed care plan.
https://medicaid.ohio.gov/resources-for-providers/welcomeproviders/welcome-providers
Use this page as a go-to resource for learning more about training, billing, rate-setting and additional areas of interest concerning the provider community.
https://ohpnm.omes.maximus.com/OH_PNM_PROD/Account/Login.aspx
All users must log in on the OH|ID portal using their single sign on ID. Attention Providers: if you need assistance signing in or acquiring your OH|ID, please