The following tips have been submitted to help with your claim submissions. Use our "Contact
Us" form to submit any tips you know of that might help others' see reimbursement.
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Tip 1) One significant change is the strict handling of the diagnosis codes we've grown
accustomed to using. I have noted the period (.) is not accepted on the new system; which can
cause your claims to deny. Be sure to check the list of Diagnosis Codes (ICD-9) for accuracy.
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Tip 2) Try various browsers to enter your claims (i.e. Explorer, Firefox, Google Chrome, etc...)
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Tip 3) Be sure to have your "pop-up blockers off.
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Tip 4) If you use a Billing Agent, be sure you have added them as an "Agent" in your account.
Follow these instructions:
a. Login to your MITS Portal account (secured portal)
b. Click on "ACCOUNT"
c. On the drop-down list, choose: "AGENT MAINTENANCE"
d. Click "ADD AGENT"
e. Use the "Search" feature to find your respective AGENT on the drop-down list
f. After making the selection, "ADD" insert their user name & password as provided
g. Use double arrows << on list to ASSIGN th AGENT ROLES
h. Put a check mark in the "agreement" box (after reading)
i. Click "SUBMIT" (you're done)
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Tip 5) Information from MyOhiohcp Re: Payment on the same day for the same consumer
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The new Medicaid Information Technology System(MITS) is here. What does is mean for you?
Find out by visiting the Home Page of the Job & Family Services MITS information resource
webpage.
Medicaid Providers now able to submit claims here: MITS System
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Applications to become an Independent Provider are now being accepted online. CLICK HERE
TO COMPLETE THE APPLICATION
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NEW REIMBURSEMENT RATES TO TAKE AFFECT OCTOBER 2011
The following passage shows a reduction in the "base" (aka loading hour). The way it is worded, one would believe the
"unit" (subsequent hours) paid to non-agency nurses are being reduced by 20%. However, according to the proposed
(Draft) Rules, there will not be a decrease in the reimbursement amount for subsequent hours worked on a shift. Please
periodically check the Ohio Department of Job and Family Services Emanuals update for the latest on Rules governing
Ohio Home Care providers. Click on the above title for a simplified explanation of pay rate reductions.
HB 153 AS SIGNED BY THE GOVERNOR
(1) Effective October 1, 2011, reduce the medicaid program's first-hour-unit price for aide services to ninety-seven per
cent of the price paid on June 30, 2011, and for nursing services to ninety-five per cent of the price paid on June 30, 2011;
(2) Effective October 1, 2011, pay for a service that is an aide service or a nursing service provided by an independent
provider eighty per cent of the price it pays for the same service provided by a provider that is not an independent
provider;
(3) Not sooner than July 1, 2012, adjust the medicaid reimbursement rates for aide services and nursing services in a
manner that reflects, at a minimum, labor market data, education and licensure status, home health agency and
independent provider status, and length of service visit.
(C) The department shall strive to have the adjustment made under division (B)(3) of this section go into effect on July 1,
2012. The reductions made under divisions (B)(1) and (2) of this section shall remain in effect until the adjustment made
under division (B)(3) of this section goes into effect.
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