Community Medicaid

Updates

• Subscribe or unsubscribe to the Office of Health Integration Updates Listserv
• Subscribe to or Unsubscribe from the MACSIS Board Listserv
• Medicaid Updates
• MACSIS Updates
• MITS BITS Updates
• Community Medicaid Reconcilliations SFY 2000 - SFY 2005

Community Medicaid Rate Information

• Guidance for Completing ODMH Actual Uniform cost Report
• ODMH Actual Uniform Cost Report FY12
• ODMH Actual Uniform Cost Report FY13
• Medicaid Fee Schedule Implementation 10-04-2010
  • Fee Schedule Service Array - ODMH
  • Fee Schedule Service Array - ODADAS
• Become an Ohio Community Mental Health Medicaid Service Provider
• Become an ODMH Certified Community Mental Health Service Provider

Training Materials

• Health Care Excel Prior Auth Training Presentation October-November 2011
• ODMH Medicaid Benefits Training Presentation October-November 2011
• ODMH Prior Authorization Training Presentation October-November 2011
• ODMH Web Portal Training Presentation October-November 2011
• Mental Health Benefits Training presentation, June 2011, Revised July 5, 2011
  
  Disclaimer: Please note that certain slides have been revised from the original version presented during the 5 regional training sessions held in June, 2011. The slides have been modified to reflect the status of the current proposals as of July 5, 2011 and are footnoted with the following: "Revised, July 5, 2011". In addition, the utilization management limits described in the training presentation are to be considered proposed, as they are not currently in effect.

Prior Authorization Exemption for Psychiatrists

The documents in this section relate to the Ohio Department of Job and Family Services, Office of Ohio Health Plans revised policy for covering certain second generation anti-psychotic medications prescribed to aged, blind or disabled clients enrolled in Medicaid managed care plans. Under the revised policy, psychiatrists contracting with managed care plans or working through a community mental health center (CMHC) may be exempt from prior authorization requirements for current and future second generation anti-psychotics without an available generic, bio-equivalent or metabolite.

• Psychiatrist Prior Authorization Exemption for 2nd Generation Antiphyschotic Drugs for Ohio Medicaid Managed Care Plans (MCPs)
• Master CMHC Phychiatrist Data

Interagency Agreements and Amendments

• FY12 Interagency Agreement between ODJFS & ODMH A-123-07-0279
• FY12 Interagency Agreement between ODJFS & ODMH A-123-07-0279- Amendment 1
• FY12 Interagency Agreement between ODJFS & ODMH A-123-07-0279- Amendment 2
• FY12 Interagency Agreement between ODJFS & ODMH A-123-07-0279- Amendment 3
• FY10-FY11 Interagency Agreement between ODJFS & ODMH A-1011-07-0635
• FY10-FY11 Interagency Agreement between ODJFS & ODMH A-1011-07-0635 - Amendment 1
• FY10-FY11 Interagency Agreement between ODJFS & ODMH A-1011-07-0635 - Amendment 2
• FY10-FY11 Interagency Agreement between ODJFS & ODMH A-1011-07-0635 - Amendment 3
• FY10-FY11 Interagency Agreement between ODJFS & ODMH A-1011-07-0635 - Amendment 4
• FY10-FY11 Interagency Agreement between ODJFS & ODMH A-1011-07-0635 - Amendment 5
• Interagency Agreement Archives

Rules and Guidelines

• ODJFS Community Mental Health Agency Services Rules and Guidelines 5101:3-27
• ODADAS-ODMH Guidelines Pertaining to the Implementation of MACSIS under HIPAA, Effective July 1, 2003 (Last Updated January 27, 2005) 
• Analysis of Federal Medicaid Requirements 
• Audit Guidelines 

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