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On Feb. 21, 2024, Change Healthcare experienced a cyber security incident. Any individuals impacted by this incident will receive a letter in the mail. To learn more about this from Change Healthcare, please visit the Change Healthcare website or reach out to the contact center at 1-866-262-5342. More from Change Healthcare

ODM Revalidations

All Ohio Department of Medicaid (ODM) providers are required to revalidate or renew your ODM provider agreement every three years or five years. Credentialed provider types are subject to three-year provider agreements and are both revalidated and recredentialed at that interval. All other providers are subject to five-year provider agreements and must revalidate before the end date of that agreement to continue participation in Ohio Medicaid as an active enrolled provider.   

ODM mails and emails a reminder notice to the contact listed on the Primary Contact page in the Provider Network Management (PNM) module 120 days before the Ohio Medicaid provider agreement expires. To ensure you receive these notices, you must maintain a current mailing and email address.

Review the “2023 Upcoming Revalidations” file 

To provide additional support and information about provider revalidation schedules, ODM has published a 2023 Upcoming Revalidations file on the Ohio Medicaid website and can be found here. This report provides a complete list of all revalidations due in 2023. The revalidation list contains the provider’s name and National Provider Number (NPI) or Medicaid ID.

Once the revalidation workflow in PNM is initiated within the 120-day provider agreement revalidation timeframe, providers cannot initiate any other workflows to perform PNM updates (i.e., affiliations, demographic updates, requesting a new specialty, etc.) until the revalidation is complete and approved. However, updates or changes may still be made within the revalidation workflow as part of the revalidation verification process.

Note: ODM will publish a revalidation list for 2024 in early October 2023.

For More Information

For technical support or assistance, contact ODM’s Integrated Helpdesk (IHD) at 800-686-1516 and follow the prompts for Provider Enrollment (option 2, option 2) or email IHD@medicaid.ohio.gov. Representatives are available 8 a.m.-4:30 p.m. Eastern time Monday-Friday.

To learn more about the PNM module and Centralized Credentialing, visit the PNM and Centralized Credentialing page on the Next Generation website.