Payer Notification - Ohio Medicaid MMIS Transition
Posted by Sheila Odeen on 16 January 2023 12:08 PM
Notification Type: Payer Notification
Subject: Ohio Medicaid MMIS Transition
Payer ID/Name: MCDOH – Medicaid Ohio
Description: Ohio Department of Medicaid (ODM) is migrating all data from the Electronic Data Interchange (EDI) system managed by Gainwell Technologies to their new EDI vendor, Deloitte. With the migration to the new Deloitte EDI, there are several dates which may impact your line(s) of business as the state decommissions the current system.
Production access to the new Deloitte system will be available beginning on February 1 to resume EDI exchange activity. Below are the decommission dates for EDI transactions leading up to the February 1 launch. During these dates, Office Ally will hold submitted claims until February 1 for submission to Medicaid Ohio.
Provider Action Required: Providers should submit their Medicaid Ohio claims to Office Ally no later than 5 pm (ET) on Tuesday, January 24 to meet the payer’s submission deadline. ERA enrollment forms will not be accepted by the payer between Friday, January 20 at 5 pm (ET) and January 31.