Welcome to AmeriHealth Ohio's Provider Partnerships September Newsletter!
September 2022
AmeriHealth Caritas Ohio's New Provider Orientations have begun!
You and your office staff are invited to join us for a new provider orientation. AmeriHealth Caritas Ohio's leadership team members, your personal account executive and many others plan to be there. They look forward to meeting you! These orientations are designed to familiarize you with not only the vast resources available to you through our website, but also identify areas of importance to help you work with us to best serve our members — your patients. You can attend either virtually or in-person. Click here to sign up.
Large group/in-person orientation sessions
10 a.m. - noon or 1 - 3 p.m.
Sept. 22 Cleveland
The Centers
4500 Euclid Avenue
Oct. 5 Columbus
Columbus Metropolitan Library Auditorium
96 S. Grant Avenue
Oct. 13 Athens
Athens Community Center
701 E. State Street
Oct. 18 Cincinnati
Deer Park Library, Meeting Room A
4020 E. Galbraith Road
Oct. 19 Dayton
Engineers Club
110 E. Monument Avenue
Virtual orientation via Zoom
10 a.m. - 11 a.m.

Oct. 4 - Click here to register

Oct. 18 - Click here to register

Nov. 1 - Click here to register

Nov. 15 - Click here to register

Nov. 29 - Click here to register

Dec. 13 - Click here to register

Provider manual

We are pleased to have you participating in our network. Our provider manual is designed to provide important information on processes, programs and the delivery of care to AmeriHealth Caritas Ohio members. Click here to access the manual. 


For the convenience of our providers, AmeriHealth Caritas Ohio has established three Checkwrite days per week - Mondays, Wednesdays, and Fridays. We are committed to providing timely claims adjudication for you. All claims for services rendered by in-network providers must be submitted to AmeriHealth Caritas Ohio within 365 days from the actual date of service (or the date of discharge for inpatient admissions).


One week left to pre-register for Provider Network Management (PNM)

Providers have until Friday, September 23, to pre-register for the PNM module ahead of the PNM launch on October 1. As a reminder, an OH|ID is required to access the PNM module. Access to key administrative functions could be delayed for providers who do not pre-register. If you cannot take advantage of pre-registration, you will still be able to access the PNM and set up your account at go-live October 1.


To access the PNM pre-registration site, please visit https://pnm-preregistration.omes.maximus.com/.


How can I learn more about the October 1 changes for providers?

In July, ODM hosted a webinar for providers on the Next Generation's Stage 2 October 1 launch. This webinar included an overview of the new modules and upcoming provider training plans and dates. Please see below for a recording of the session and the corresponding slides.
Next Generation Ohio Medicaid Program Provider Overview Slides
Next Generation Ohio Medicaid Program Provider Overview Recording


Need Help?

To learn more about the PNM module and Centralized Credentialing, visit the PNM & Centralized Credentialing site and Single Pharmacy Benefit Manager (SPBM) webpages. For questions about the Next Generation program, contact ODMNextGen@medicaid.ohio.gov.

Registration is open for Provider Network Management (PNM) training!

Ohio Department of Medicaid (ODM) is in the process of implementing the Next Generation program to focus on the individual rather than the business of managed care so that we can do better for the people we serve. One way to achieve this vision is through the implementation of the Provider Network Management (PNM) module to reduce the administrative burden on providers.


Training and Learning Management System

In preparation for Stage 2 go-live (October 1, 2022), ODM is offering a 

variety of training options including self-paced, virtual, and in-person training options. Absorb, the Learning Management System (LMS), is where you will access the self-paced training and sign up for the virtual and/or in-person sessions.


LMS Registration

It is important that you create an account in the LMS to ensure you have access to all training sessions, answer forms, and PNM resources in advance. Click below to find trainings by provider type or view the calendar here


Need help navigating all the changes?
Reach out to AmeriHealth Caritas Ohio provider services at 1-833-644-6001 or the Ohio Department of Medicaid provider hotline at 1-800-686-1516. We’re here to help! 
Healthy Aging Month
Every September, Healthy Aging Month is recognized to raise national attention on the health and well-being of older adults. The Ohio Department of Aging supports efforts to keep Ohioans independent as they age. You can find programs, services and events for older Ohioans, caregivers, and professionals in the aging network on their website.

Visit the Provider section of the AmeriHealth Caritas Ohio website for more information, news and resources. If you need assistance, please contact your assigned Account Executive.

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