11/15/2022

ODM Delays Dec. 1 Implementation of Next Generation Managed Care Plans and Ohio Medicaid Enterprise System

Important News from the Ohio Department of Medicaid

The Ohio Department of Medicaid (ODM) announced today in an email that the Next Generation phase 3 launch scheduled December 1, 2022, has been delayed until February 1, 2023.  The following is an excerpt from the announcement:

"Based on the feedback we have received and our commitment to carefully transitioning, we will not implement the new Next Generation managed care plans and the full Ohio Medicaid Enterprise System (OMES) launch on December 1. The new lineup for implementation is as follows:

• On February 1, 2023, ODM will launch the Next Generation managed care plans and program requirements, including exciting improvements that will support members in accessing the healthcare services and supports they need. ODM will also implement the new Electronic Data Interchange (EDI), increasing transparency and visibility of member care and services.
• Subsequently, ODM will fully launch OMES modules to provide streamlined processes for claims, prior authorizations, and other administrative tasks for providers.

Providers should continue conducting business as you do today on and after December 1 - including the processes, procedures and systems used today to submit claims, prior authorizations and complete other administration functions...." 

Click here for the full ODM announcement.

OAMES will continue to monitor news from ODM on Next Generation developments in the coming weeks.  If you have any questions, contact OAMES executive director Kam Yuricich or reach out to the Next Generation mailbox.