What We Do
Plan and Implement
Capital Planning and Management System Transformation Promote
Clinical Quality Coordinating Centers of Excellence Mental Health Promotion and Prevention Ohio Tobacco and Recovery Initiative Research and Evaluation Residency and Traineeship Program Solutions for Ohio's Quality Improvement and Compliance Protect and Monitor
Allocation Guidelines Block Grant Client Rights and Advocacy Community Plans Consumer Outcomes Fiscal Reporting Forms and Templates Legislation Licensure and Certification MACSIS Medicaid Patient Care System Pre-Admission Screening and Resident Review Provide
Assertive Community Treatment Children, Youth and Families Emergency Preparedness Employment Faith Based Initiatives Forensic Services Hospital Services Housing Intensive Home-Based Treatment Older Adults Trauma Informed Care Warehouse and Pharmacy Goods and Services

Cheat Sheets and FAQs

Claims

• APUPD Process
• BRULE Explanation 
• Claims EDI File Processing for the 837P 
• Contracts and Pricing Flowchart 
• Contract, PSCHD & Procedure Code Tables 
• Correcting OHIO Claims - MBRIN 
• Correcting OHIO Claims - PRVIN 
• Denying a Claim
• Denying Claims Beyond Submission Deadline
• FAQ - Claims
• Fixing Retroactive Medicaid-Eligible Claims 
• Making a Denied Claim Payable
• Putting a Claim on Hold
• Reporting Third Party Insurance on the 837P
• Reversing a Claim
• Sample 835 v4010 UPI File 
• Sample 835 v4010 NPI File
• Sample 837P v4010 UPI File 
• Sample 837P v4010 NPI File 
• Life Cycle of a Claim Flowchart
• Life Cycle of a Claim Documentation
• Splitting a Claim
• Un-Pending Claims

Timelines

• AOD OHEXT/CPE Process Timeline
• APUPD Process Timeline
• MH OHEXT/CPE Process Timeline
• Claims Process Timeline  

Member

• Completing the Member Screen 
• Enrolling a Client
• FAQ - Electronic Eligibility Inquiry
• FAQ - Member
• FAQ - Member & Medicaid Eligibility
• Residency Determination Cheat Sheet
• Search for a Member

Related Information

• MACSIS Naming Conventions
• MACSIS Reports List