Utilization review and pre certification services Forms for Cuyahoga
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FAQ
Submitting claims through the MITS portal is free. If you need assistance call the Medicaid Provider Call Center at 1-800-686-1516 We urge you to act now to ensure future payment of your claims.
A utilization review is a process in which a patient's care plan undergoes evaluation, typically for inpatient services on a case-by-case basis. The review determines the medical necessity of procedures and might make recommendations for alternative care or treatment.
Become a ProviderGo to the MITS Portal.Select the "I need to enroll as a provider to bill Ohio Medicaid" option.Follow the system prompts and provide the requested information.When you have completed all steps, please submit your application.
To become a Medicaid waiver provider in Ohio call (800) 617-6733 for instructions. Persons or agencies who provide services to individuals with developmental disabilities must obtain certification from the Ohio Department of Developmental Disabilities.
You can renew your coverage in one of three ways:Online. If you applied for Medicaid online, go to benefits.ohio.gov Opens in a new tab and click on "Renew My Benefits" OR.By Mail. Fill out the form and mail it back right away to your local county JFS office Opens in a new tab.In Person.
The Provider/Supplier Enrollment Application Form (CMS-855A) is a requirement of the application process. To obtain this form, click on the CMS-855 link above or call the fiscal intermediary at (855) 696-0705 or visit their website at .