Learn more about the next generation of Ohio Medicaid managed care and what it means for providers IMPORTANT UPDATE: Ohio Medicaid is upgrading its provider enrollment system Effective August 1, 2022, ODM will not be accepting new provider enrollment applications or continue any in-progress enrollment applications through the MITS Provider Enrollment System. Details on the process for enrollment of new OhioRISE providers from August 1 to October 2022 will be communicated prior to August 1st. Effective October 1, 2022, all provider enrollment applications must be submitted using Ohio Medicaid’s new Provider Network Management (PNM) portal. After its implementation, the PNM portal will be the single point for providers to complete provider enrollment, centralized credentialing, and provider self-service. About Ohio Medicaid’s Next Generation Program In 2019, the Ohio Department of Medicaid (ODM) launched a series of procurements and strategic initiatives with the goal of creating a Next ...

As a part Ohio Medicaid’s effort to launch the next generation of Medicaid, ODM will implement OhioRISE (Resilience through Integrated Systems and Excellence), a specialized managed care program for youth with complex behavioral health and multi-system needs.

COLUMBUS, Ohio — The decision of how Ohio will spend hundreds of millions of dollars – and maybe more – in opioid settlement money will be up to a new non-profit, whose board met for the first time on Monday. The 29-member OneOhio Recovery Foundation Board consists of state representatives, local government leaders (including Cuyahoga County Executive Armond Budish), addiction treatment experts, and others from around the state. Under an agreement between state and local officials made in 2020 , the new foundation will decide how to distribute more than $440 million (or 55%) of an $808 million settlement reached last year with the nation’s three largest pharmaceutical distributors and drugmaker Johnson & Johnson. Under the agreement, another 30% of the settlement money will get distributed among more than 2,000 local governments in Ohio. The final 15% will go to the state, though Gov. Mike DeWine said OneOhio might also gain control over spending some of the state’s share. The sett...