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Communications and network notices

Visit this page often to find current network notices, current and previous issues of our New Horizon Ohio Medicaid provider newsletter, and updates to our prior authorization processes.

Medicaid provider works online

Network notices

2024

Diabetes Self-Management Education (DSME) Benefits for Ohio Medicaid Members, PDF

Claim edit change effective June 1, 2024, PDF

Claim edit change effective May 9, 2024, PDF

All Plan PRAF Quality Enhance Incentive Payment Sustainability Communication form 2024 , PDF

All Plan PRAF Technical Assistance Intervention Package Sustainability Communication form 2024, PDF

Ohio Provider Notice Coverage of DexCom , PDF

Ohio Provider Notice-Enhanced Reimbursement for diabetes self-management education March 19, 2024 , PDF

Change HealthCare Breach Announcement FAQs and Guidance, PDF

Medicaid Agreement Revalidations in the Provider Network Management Module, PDF

2023

Diabetes Self-Management Education (DSME) Quick Reference Guide – For Providers, PDF

Enhanced Reimbursement for Diabetes Self-Management Education, PDF

Coverage of DexCom and FreeStyle Continuous Glucose Monitors (CGMs) via the Medical / Durable Medical Equipment Benefit, PDF

Quality Enhancer Incentive Program Electronic Pregnancy Risk Assessment Form (ePRAF), PDF

Technical Assistance Intervention Package Electronic Pregnancy Risk Assessment Form (ePRAF), PDF

Electronic visit verification (EVV) communication, PDF

Food and Drug Administration MedWatch – HAMILTON-C1, T1, and MR-1 ventilators recalled for leaks and short circuits , PDF

Provider Network Notification – Provider Network Management (PNM) integration delayed, PDF

Provider Network Notification Authorization Process Update, PDF

Provider Network Notification – Provider network management, PDF

Provider Network Notification – OhioRISE referral mailbox email address, PDF

Provider Network Notification - SUD Residential Providers – Effective October 27, 2023, PDF

Public health emergency (PHE) end date and preadmission screening and resident review (PASRR) impact – effective April 20, 2023 , PDF

Use your secure Availity account to submit transplant inpatient prior authorizations requests – effective Mar. 27, 2023 , PDF

Claims filing updates – effective Feb. 9, 2023 , PDF

Member ID card updates – effective Feb. 1, 2023 , PDF

Newborn enrollment eligibility , PDF

2022

December update: ODM go-live date changes update , PDF

Humana Healthy Horizons in Ohio Provider Newsletter

2024

New Horizon Ohio Medicaid Provider Newsletter, PDF

Humana Healthy Horizons in Ohio Provider Newsletter Archive

New Horizon Ohio Medicaid Provider Newsletter Archive, PDF

Additional information

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