The Ohio Provider Portal serves as a critical digital platform for healthcare providers participating in the Ohio Medicaid system. This comprehensive portal enables providers to manage their professional interactions, access essential resources, and streamline administrative processes efficiently.

Official Links

• Provider Portal: https://provider.benefits.ohio.gov/
• Provider Network Management Login: https://ohpnm.omes.maximus.com/OH_PNM_PROD/Account/Login.aspx

What Providers Can Do

Healthcare providers using the Ohio Provider Portal can:

• Check participant eligibility
• Access provider information
• Register as a provider
• Report changes
• Submit participant activity
• Access provider details
• Manage network management tasks

Access and Login Requirements

Login Process

All users must log in using their OH|ID single sign-on credentials. Providers needing assistance with OH|ID can contact:

• ODM Integrated Help Desk
• Phone: 800-686-1516
• Email: [email protected]

Important Login Notes

• Password expires in 14 days
• Recommended to change password via My Profile Page
• Session timeout warnings are implemented

Key Features

Language Support

The portal offers multilingual accessibility, including:

• Chinese
• Haitian Creole
• French
• German
• Hindi
• And several other languages

Training and Resources

Provider Network Management (PNM) Module Training

• Scheduled for August 19-28, 2025
• Access through Absorb Learning Management System
• Requires account creation

Privacy and Security

System Usage Terms

• Restricted to authorized users
• Users responsible for account activities
• All system activities may be monitored
• Confidential information access

Security Protocols

• Immediate reporting required if unauthorized access discovered
• Email for security concerns: [email protected]

Customer Support

Integrated Help Desk

• Phone: 800-686-1516
• Email: [email protected]
• Hours: 8 a.m. – 4:30 p.m. (Monday-Friday, Eastern Time)
• 24/7 Interactive Voice Response System available

Recent Updates

Prior Authorization Requirements

• Effective August 1, 2025
• Claims without approved prior authorization will be denied
• Warning period currently in effect

Cost Report Tool Update

• Online Cost Report Tool (OCRT) launching September 1
• Replacing Automated Cost Report Software
• Training sessions available

Unprovided Information

Some specific details not explicitly available in the source documents include:

• Exact mobile app download instructions
• Detailed billing process through the portal
• Comprehensive feature list
• Specific login screen layouts

The Ohio Provider Portal represents a robust, secure platform designed to support healthcare providers in efficiently managing their Medicaid-related administrative tasks. Continuous updates and comprehensive support ensure providers can focus on delivering quality patient care.

Contact Information:

• Provider Enrollment and Assistance: 1-800-686-1516
• Mailing Address:
  Ohio Department of Medicaid
  Provider Enrollment Unit
  P.O. Box 1461
  Columbus, OH 43216-1461