PHARMACY CLAIMS:

• ODM Pharmacy Benefits

PROFESSIONAL CLAIMS:

• Telehealth Billing Guidance for Dates of Service On or After 7/4/2019
• SCT Transportation Service Billing Guidance
• Ambulatory Surgery Center Billing Guidelines for Dates of Service On or After 8/1/2017
• Submitting a Professional Claim in MITS
• Other Payer Submission
• Telemedicine Billing Guidance for Dates of Service Prior to 7/4/2019
• Web Portal Billing Guide for Professional Claims
• EDI Companion Guide for Professional Claims

INSTITUTIONAL OR FACILITY-BASED CLAIMS:

• SCT Transportation Service Billing Guidance
• Nursing Facility Billing Clarification for Hospital Stays
• Web Portal Billing Guide for Institutional Claims
• EDI Companion Guide for Institutional Claims
• ODM Hospital Billing Guidelines
  • For Dates of Discharge and Dates of Service On or After 7/1/2018
  • For Dates of Discharge and Dates of Service On or After 8/1/2017and Before 6/30/2018
  • For Dates of Discharge and Dates of Service On or Before 7/31/2017

DENTAL CLAIMS:

• Web Portal Billing Guide for Dental Claims
• EDI Companion Guide for Dental Claims

MODIFIERS:

• Modifiers recognized by ODM

DURABLE MEDICAL EQUIPMENT CLAIMS:

• Codes/Rates/Fee Schedules FAQs

How to read the RA (Remittance Advice)

General Medicaid

Hospital

• HHTL 3352-20-03: Hospital Cost Coverage Add-On
• HHTL 3352-20-02: New Diagnosis, Procedure Codes and Implementation of APR-DRG Version 37.1
• HHTL 3352-20-01: Hospital Updates, Effective January 1, 2020
• HHTL 3352-19-10: Hospital Cost Coverage Add-On
• HHTL 3352-19-09: Outpatient Hospital Reimbursement for Services Provided on or after January 2, 2020
• HHTL 3352-19-08: Hospital Franchise Fee Program
• HHTL 3352-19-07: Non-DRG Prospective Payment for Hospital Services
• HHTL 3352-19-06: October 1, 2019 Updates for Inpatient and Outpatient Hospitals
• HHTL 3352-19-05: Update to Covered Dental Services Provided in Outpatient Hospitals (OPH)
• HHTL 3352-19-04: Outpatient Hospital Behavioral Health (OPHBH) Services Updates - August 1, 2019
• HHTL 3352-19-03: Hospital Coverage Updates Effective January 1, 2019 and February 1, 2019
• HHTL 3352-19-02: Potentially Preventable Readmissions Program Changes, Effective January 1, 2019
• HHTL 3352-19-01: Hospital Updates, Effective January 1, 2019
• HHTL 3352-18-10: Payment Policies - Hospital Care Assurance Program
• HHTL 3352-18-09: Hospital Assessments - Hospital Care Assurance Program
• HHTL 3352-18-08: October 1, 2018 Updates for Inpatient and Outpatient Hospitals
• HHTL 3352-18-07: Inpatient Hospital Recalibration, Outpatient Hospital Updates and Classification of Hospitals, as of September 1, 2018
• HHTL 3352-18-06: July 1, 2018 Hospital Billing Guidelines Update
• HHTL 3352-18-05: July 1, 2018 OPH Updates
• HHTL 3352-18-04: Upper Payment Limit Rule Updates
• HHTL 3352-18-03: Inpatient Hospital Rule Rescissions
• HHTL 3352-18-02: Hospital Billing Guidelines – January 2018 Update
• HHTL 3352-18-01: Hospital Updates, Effective January 1, 2018
• HHTL 3352-17-13: Medical Education Add-On Payment
• HHTL 3352-17-12: Inpatient Hospital Services: Detoxification Services Provided in Psychiatric Hospitals
• HHTL 3352-17-11: Inpatient Hospital DRG Updates, Effective October 1, 2017
• HHTL 3352-17-10: Outpatient Hospital Reimbursement on or after August 1, 2017
• HHTL 3352-17-09: Hospital Billing Guidelines – Two Publications
• HHTL 3352-17-08: Reimbursement for Inpatient LARC Devices
• HHTL 3352-17-07: Medical Education
• HHTL 3352-17-06: Inpatient Hospital Reimbursement
• HHTL 3352-17-05: Eligible Providers, Classification of Hospitals, and Capital Costs
• HHTL 3352-17-04: Coordination of Benefits: Hospital Services
• HHTL 3352-17-03: Rescission of Pre-APR DRG Inpatient Hospital Rules
• HHTL 3352-17-02: Hospital Billing Guidelines – 2/1/2017 Update
• HHTL 3352-17-01: Hospital updates effective January 1, 2017
• HHTL 3352-16-11: Hospital Care Assurance Program 2016 and 2017
• HHTL 3352-16-10: Inpatient Hospital Reimbursement
• HHTL 3352-16-09: Potentially Preventable Readmissions Program
• HHTL 3352-16-08: Inpatient Hospital DRG Updates, Effective October 1, 2016
• HHTL 3352-16-07: Outpatient Hospital Reimbursement Changes, Effective October 2016
• HHTL 3352-16-06: Inpatient Hospital Reimbursement
• HHTL 3352-16-05: Disproportionate Share Hospitals Program
• HHTL 3352-16-04: Hospital Franchise Fee
• HHTL 3352-16-03: Appeals and Utilization Reviews for Hospital Services
• HHTL 3352-16-02: New Explanation of Benefits Codes for Hospitals effective January 2016
• HHTL 3352-16-01: Hospital updates effective January 1, 2016
• HHTL 3352-15-11: General Provisions and Outpatient Hospital Services
• HHTL 3352-15-10: Hospital Cost Reporting and Audits
• HHTL 3352-15-09: The National Correct Coding Initiative

Non-Institutional

• Listing of Prior Authorization Requirements
• Update of New Vision Volume Purchasing Contract Optical Laboratories for July 1, 2015

Medicaid Advisory Letter (MAL)

• MAL 643: Optical Laboratory Contracts - July 1, 2020
• MAL 641: Separate Payment for Erythropoietin-Stimulating Agents Administered at ESRD Dialysis Clinics
• MAL 640: Oxygen Payment Correction E1390 and E1392
• MAL 639: Insulin Pump for Type 2 Diabetes
• MAL 638: Revised Ohio Department of Medicaid Dental Periodicity Schedule 2020
• MAL 637: Clarification of Coverage of D2929 - Prefabricated Porcelain/Ceramic Crown – Primary
• MAL 636: Providers Enrolled as Family Planning Clinics That Do Not Meet the Title X Funding Requirement
• MAL 635: Payment for Federally Qualified Health Center (FQHC) and Rural Health Clinic (RHC) Services Rendered Through Telehealth
• MAL 634: Payment for Medication-Assisted Treatment (MAT) and Take-Home Medications Furnished at a FQHC and RHC
• MAL 633: Annual Update - International Classification of Diseases, 10th Revision, Diagnosis Codes (ICD-10-CM)
• MAL 632: Payment for Hepatitis A Vaccine Provided Through Non-Participating VFC Providers
• MAL 631: Payment for Services Rendered Through Telemedicine at a Federally Qualified Health Center (FQHC) or Rural Health Clinic (RHC)
• MAL 630: CPT and HCPCS Level II Coding Updates
• MAL 629: Coverage of D2929 - Prefabricated Porcelain/Ceramic Crown – Primary effective January 1, 2019
• MAL 628: Payment for Long-Acting Reversible Contraception (LARC) Furnished at an FQHC or RHC
• MAL 627: Federally Qualified Health Center (FQHC) Transportation Services
• MAL 626-A - Update: Diagnosis Code Reporting Required on Claims Starting January 1, 2020
  • Frequently Asked Questions: Diagnosis Code Requirement for Claims
• MAL 626: Diagnosis Code Reporting Required on All Claims – April 1, 2019 Implementation Has Been Delayed
• MAL 625: Clarification of Services Rendered under the Supervision of a Teaching Practitioner
• MAL 624: Payment of Group Therapy Services Rendered at a Federally Qualified Health Center (FQHC) or Rural Health Clinic (RHC)
• MAL 623: Update of new vision volume purchasing contract optical laboratories for July 1, 2018
• MAL 622-A : Update: Requirement to Report Individual Practitioners' NPIs in the Rendering Fields of FQHC and RHC Claims
• MAL 622: New Requirement to Report Individual Practitioners' NPIs in the Rendering Fields of FQHC, RHC, OHF, Ambulatory Health Care Clinic, and Freestanding Birth Center Claims Starting July 1, 2018
• MAL 621: Prohibition of Commingling in FQHCs and RHCs
• MAL 620: Electronic Visit Verification (EVV) - Program Changes
• MAL 620-A: Acupuncture Services—Benefit Year
• MAL 619: Calcimimetics and Influenza Virus Vaccine Paid Separately and Outside of the Composite Payment Amount When Furnished at an End-Stage Renal Disease (ESRD) Dialysis Clinic
• MAL 618: American Dental Association (ADA) Coding Changes Effective January 1, 2018
• MAL 617: FQHCs, RHCs, and Other Clinics—Required Reporting of SE Modifier on Fee-for-Service Claims with Provider-Administered Drugs Acquired Through the 340B Drug Pricing Program
• MAL 616: Payment of Chronic Care Management (CCM) Services Rendered at a Federally Qualified Health Center (FQHC) or Rural Health Clinic (RHC)
• MAL 615: CPT Code 87341 (Infectious Agent Antigen Detection by Immunoassay Technique) To Be Included in ESRD Dialysis Clinic Composite Payment Amount
• MAL 614: Coverage of Tobacco Cessation Counseling Services
• MAL 613: Vaccines for Children – System Change Affecting Submission of Claims
• MAL 612: Guidelines for completing H.A.S. (hysterectomy, abortion, and sterilization) forms
• MAL 611: Physician Assistants prescriptive authority for Durable Medical Equipment (DME)
• MAL 610: Vision Care Services FFS renewal of optical laboratories contract and update to eyeglass frames
• MAL 609: Ohio Medicaid School Program requirements regarding referring practitioners
• MAL 608: Payment of Medical Nutrition Therapy Services Rendered by a Registered Dietitian at a Federally Qualified Health Center or Rural Health Clinic
• MAL 607: Child Birth Delivery Procedures and ICD-10 Diagnosis Codes Required on Claims for Mother’s Weeks of Gestation of Pregnancy
• MAL 606: ODM Form 03411, "Certificate of Medical Necessity: Wheelchairs"
• MAL 605: Payment for Multiple-Birth Deliveries (Twins and Triplets)
• MAL 604: Policy Clarification Federal Vaccines for Children program
• MAL 601: Coverage of insect repellent to combat Zika virus
• MAL 600: Recognizing place of service 17; Walk-in Retail Health Clinic
• MAL 599: Changes to Vision Care Services Effective June 1, 2016
• MAL 598: Payment of Chronic Care Management Services (CCM) Under CPT Code 99490 for FQHCs and RHCs
• MAL 597: New and Revised Place of Service Codes (POS) for Outpatient Hospital

Medicaid Handbook Transmittal Letter (MHTL)

• MHTL 3341-19-01: Behavioral Health Policy Updates
• MHTL 334-17-07: Behavioral Health Redesign Beta Testing Procedure
• MHTL 3334-20-03: Instructions for Completing ODM Form 06723 Designation of Authorized Representative
• MHTL 3334-20-02: Telehealth during a state of emergency
• MHTL 3334-19-11: Transitioning prior authorized state plan services from managed care to fee-for-service
• MHTL 3334-19-08: Rule Update: Eligibility Requirements for Ohio Medicaid Providers
• MHTL 3334-19-06: Rule Update: Medicaid Reimbursement Principles
• MHTL 3334-19-05: Qualified entity requirements and responsibilities for determining presumptive eligibility
• MHTL 3334-19-04: Medicaid Provider Incentive Program (MPIP) rule revisions
• MHTL 3334-19-02: Patient Centered Medical Homes
• MHTL 3334-19-01: Medicaid Coordination of Benefits with Medicare and Other Third-Party Payers
• MHTL 3334-16-04: Changes to the Payment Methodology for Medicare Part B Cost Sharing
• MHTL 3334-16-01: Medicaid Payment Rule for Non-Institutional Providers
• MHTL 3334-15-14: Revisions to Administrative Rule 5160-4-23
• MHTL 3334-15-13: Modifications to Administrative Rule 5160-4-22

Medicaid Transmittal Letter (MTL)

• MTL 3354-16-01: Consolidation of Rules for Cost-Based Clinics
• MTL 3351-19-02: Update to Covered Dental Services Provided in Ambulatory Service Centers (ASC)
• MTL 3351-19-01: Ambulatory Surgery Center Updates
• MTL 3351-18-03: October 1, 2018 Updates for Ambulatory Surgery Centers
• MTL 3351-18-02: July 1, 2018 ASC Updates
• MTL 3351-18-01 Ambulatory Surgery Center Billing Guidelines
• MTL 3351-17-01: Ambulatory Surgery Center Reimbursement
• MTL 3351-16-01: Consolidation of Ambulatory Surgery Center Rules
• MTL 3350-19-01: Coverage and payment updates to transportation rule 5160-15-28
• MTL 3350-17-01: New Program Integrity Provisions for County-Administered Medicaid Transportation Assistance
• MTL 3350-16-01: Consolidation of Transportation Rules in OAC Chapters 5160-15 and 5160-24
• MTL 3347-17-01: Consolidation of Rules for Ambulatory Health Care Clinics
• MTL 3346-17-01: Consolidation of Rules for Freestanding Birth Center Services
• MTL 3345-17-01: Amendment to Ohio Administrative Code Rules 5160-1-60 and 5160-11-09
• MTL 3345-16-01/3336-16-02: Revision of OAC Chapter 5160-11 (Laboratory-Related Services)
• MTL 3344-18-04: DMEPOS: Clarification of Policy on White Canes and Correction of Fee Schedule Errors
• MTL 3344-18-03: New Ohio Administrative Code Rule 5160-10-08
• MTL 3344-18-02: Replacement of Ohio Administrative Code Rule 5160-10-26
• MTL 3344-18-01: Revision of Rules in the Ohio Administrative Code Concerning Durable Medical Equipment, Prostheses, Orthoses, and Supplies
• MTL 3344-16-07: Durable Medical Equipment
• MTL 3344-16-06: Durable Medical Equipment
• MTL-3344-16-01: Revision of Ohio Administrative Code Rules for Wheelchairs
• MTL 3341-16-01: Consolidation and Expansion of Medicaid Rules Concerning Mental Health Services Provided in Non-Institutional Settings
• MTL 3340-18-01: Consolidation of Rules Governing Skilled Therapy
• MTL 3339-16-01: Revisions to OAC Rule 5160-8-11 Spinal manipulation and related diagnostic imaging services
• MTL-3338-17-01: Revision of the Podiatry Services Rule OAC 5160-7-03
• MTL-3338-16-01: Revision of the Podiatry Services Rules
• MTL 3337-16-01: Consolidation of Medicaid Rules Concerning Eye Care Services
• MTL 3336-20-01: Clarification of services provided by a substitute practitioner
• MTL 3336-19-04: Amendment of Ohio Administrative Code Rule 5160-1-60, Medicaid payment
• MTL 3336-19-03: Chemotherapy
• MTL 3336-19-02: Amendment of OAC rule 5160-1-60 - Medicaid Payment
• MTL 3336-19-01: Separate Payment for Medication-Assisted Treatment
• MTL 3336-18-04: Amendment of OAC rule 5160-4-23
• MTL 3336-18-03: New Rule 5160-1-80, "Substitute practitioners (locum tenens)"
• MTL 3336-18-02: Revision and Relocation of the By-Report Services Rule
• MTL 3336-18-01: Clarification of Assistant-at-Surgery Payment Policy in the APRN Rule
• MTL 3336-17-03: Revision and Relocation of the Preventive Services Rule
• MTL 3336-17-02: Revision of Rule 5160-4-01 Concerning Services Provided by Physicians
• MTL 3336-17-01: Evaluation and Management (E&M) Services
• MTL 3336-16-10: Rescission and Adoption of Rules Governing Pregnancy-Related Services
• MTL 3336-16-09: Advanced imaging multiple procedure payment reduction changes
• MTL 3336-16-08: Consolidation and Relocation of Medicaid Rules Concerning Advanced Practice Registered Nurse Services
• MTL 3336-16-07: Amendment to OAC Rule 5160-4-14, Professional Dialysis Services
• MTL 3336-16-06: Anesthesia Services
• MTL 3336-16-05: Consolidation of Pregnancy Prevention Rules
• MTL 3336-16-03: Revisions to Administrative Rules 5160-4-05 and 5160-4-19
• MTL 3336-16-01: Modifications to Administrative Rules 5160-4-12 and 5160-4-13
• MTL 3335-19-01: Dental Program Enhancements Ohio Administrative Code Rule 5160-5-01 effective January 1, 2020
• MTL 3335-18-02: Revision of the Dental Services Rule effective January 1, 2019
• MTL 3335-18-01: Revision of the Dental Services Rule
• MTL 3335-16-02: Revision of the Dental Services Rule
• MTL 3335-16-01: Medicaid Dental Services Policies
• MTL 3334-18-06: Rescission of Ohio Administrative Code Rules 5160-1-60.1
• MTL 3334-18-05: Rescission of Ohio Administrative Code Rule 5160-4-11
• MTL 3334-18-03: Rescission of Ohio Administrative Code Rule 5160-4-28
• MTL 3334-18-02: Consolidation of Rules Governing Skilled Therapy
• MTL 3334-18-01: Acupuncture Services
• MTL 3334-17-11: Amendment to Ohio Administrative Code Rules 5160-1-60 and 5160-11-09
• MTL 3334-17-10: Rescission of Ohio Administrative Code Rule 5160-4-13
• MTL 3334-17-09: Rescission of Ohio Administrative Code Rule 5160-1-60.3
• MTL 3334-17-08: Consolidation and Relocation of Rules for EPSDT Services
• MTL 3334-17-06: Consolidation of OAC Rules 5160-4-12 and 5160-4-35
• MTL 3334-17-05: Medicaid Payment Rule
• MTL 3334-17-04: Rescission of Administrative Rule 5160-4-31
• MTL 3334-17-03: Adding Co-surgery Coverage and Limitations
• MTL 3334-17-01: Medicaid Providers to Resume Participation in the Ohio Medicaid Program
• MTL 3334-16-21: Changes to Ohio Administrative Code Rule 5160-4-02
• MTL 3334-16-20: Physician Assistants New OAC Rule 5160-4-03 effective January 1, 2017
• MTL 3334-16-19: Revision of OAC Rule 5160-4-20, Chemotherapy treatment for five year rule review
• MTL 3334-16-18: Medicaid payment rule and Non Covered Services rule amendments
• MTL 3334-16-17: Diagnostic and therapeutic procedures. Rescission of Administrative Rules 5160-4-11, 5160-4-16, 5160-4-17, and 5160-4-18
• MTL 3334-16-09: Relocation and Updating of Rule Concerning Services Not Covered by Medicaid
• MTL 3334-16-08: Medical Nutrition Therapy Services
• MTL 3334-16-05: Recovery of Physician Payments Associated with Recouped Hospital Payment
• MTL 3334-16-03: Application of Fluoride Varnish by Non-Dentist Providers
• MTL 3334-16-02: Rescission of Limited Family Planning Benefit

Medicaid Eligibility Manual Transmittal Letter (MEMTL)

• MEMTL 168: Public Assistance Reporting Information System (PARIS)
• MEMTL 167: MBIWD Premium Calculator
• MEMTL 166: Medicaid: deeming of income
• MEMTL 165: State-Funded Medical Assistance for Non-Citizen Victims of Trafficking
• MEMTL 164: Medicaid: restricted medicaid coverage period (RMCP)
• MEMTL 163: Medicaid: specialized recovery services (SRS) program
• MEMTL 162: MAGI-Based Medicaid: Coverage for a Parent or Caretaker Relative
• MEMTL 161: Medicaid: disability determination process and medicaid buy-in for workers with disabilities MBIWD)
• MEMTL 160: Medicaid: Residential State Supplement
• MEMTL 159: Coverage for Individuals Receiving SSI
• MEMTL 158: Medicaid: Trusts
• MEMTL 157: Medicaid: resource exclusion
• MEMTL 156: Medicaid: income
• MEMTL 155: Medicaid: breast and cervical cancer project (BCCP)
• MEMTL 154: Estate Recovery
• MEMTL 153: Administrative Agency Responsibilities
• MEMTL 152: Treatment of Qualified Long-Term Care Insurance Policies - New
• MEMTL 151: Treatment of Qualified Long-Term Care Insurance Policies - Rescission
• MEMTL 150: Income Guidelines, Calculations, and Exclusions
• MEMTL 149: SRS Chronic Conditions Amendment
• MEMTL 148: LTC Transfer of Assets
• MEMTL 147: LTC Introductions and Resources
• MEMTL 146: ABD Resource Updates
• MEMTL 145: Continuing Care Communities, Life Care Communities, and Philanthropic Long-Term Care Facilities
• MEMTL 144: Long-Term Care (LTC) Definitions, Income, and CSRA
• MEMTL 143: Determining Patient Liability for Individuals Receiving LTC Services
• MEMTL 142: Determining Financial Eligibility Using the Special Income Level (SIL)
• MEMTL 141: Asset Verification System (AVS)
• MEMTL 140: Medicaid Buy-In for Workers with Disabilities (MBIWD)
• MEMTL 139: Authorized Representative and Safeguarding and Releasing Information
• MEMTL 138: Restrictions on Payment for Services
• MEMTL 137: Coverage for Individuals in Receipt of Adoption or Foster Care Assistance
• MEMTL 136: Definitions
• MEMTL 135: Presumptive Eligibility
• MEMTL 134: Transitional Medical Assistance
• MEMTL 133: Continuing Care Communities, Life Care Communities, and Philanthropic Long-Term Care Facilities
• MEMTL 132: Individual Responsibilities
• MEMTL 131: Conditions of Eligibility and Verifications
• MEMTL 130:  Alien Emergency Medical Assistance (AEMA)
• MEMTL 129: MAGI-based Medicaid: Coverage for Pregnant Individuals
• MEMTL 128: Medicaid: Administrative Code Rule Migration
• MEMTL 127: Medicaid: Administrative Agency Responsibilities and Notice of Privacy Practices
• MEMTL 126: Medicaid Buy-In for Workers with Disabilities (MBIWD)
• MEMTL 125: 1634 Resources - Batch Two Part Two
• MEMTL 124: Specialized Recovery Services program
• MEMTL 123: Restrictions on Payment for Services
• MEMTL 122: MAGI Household income and tax dependent status
• MEMTL 121: Qualified Income Trust (QIT)
• MEMTL 120: 1634 Resources Batch Two
• MEMTL 119: 1634 Resources Batch One
• MEMTL 118: Spenddown
• MEMTL 117: 1634 Income
• MEMTL 116: 1634 Base Eligibility
• MEMTL 115: Healthchek (Early and Periodic Screening, Diagnostic and Treatment Services)
• MEMTL 114: Residential State Supplement (RSS) Program
• MEMTL 113: Medicaid: Chapter 6 Rule Migration
• MEMTL 112: Medicare Premium Assistance Programs (MPAP) and Income Standards
• MEMTL 111: Chapter 6 Rule Migration
• MEMTL 110: Residential State Supplement Program (RSS)
• MEMTL 109: Transitional Medical Assistance Reduction
• MEMTL 108: Promissory Notes, Mortgages, Stocks, Bonds, and Loans
• MEMTL 107: Transfer of Resources and Property Agreements
• MEMTL 106: Treatment of Annuities
• MEMTL 105: Family Planning Recission
• MEMTL 104: Definitions and Administrative Agency Responsibilities
• MEMTL 103: Patient Liability
• MEMTL 102: ABD Five-Year Review Batch 2

Medicaid Eligibility Procedure Letter (MEPL)

• MEPL 152: 2020 Minimum Monthly Maintenance Needs Allowance (MMMNA) and Excess Shelter Allowance (ESA) Standards
• MEPL 151: COVID-19 Public Health Emergency: Treatment of Recovery Rebates and Federal Pandemic Unemployment Compensation
• MEPL 150A: COVID-19 Public Health Emergency: Renewals, Redeterminations, and Certain Change Processing; Continuous Coverage and Reinstatements; and Accepting Self-Declaration of Eligibility Criteria
• MEPL 150: COVID-19 Public Health Emergency: Suspension of Renewals, Redeterminations, and Certain Change Processing; Continuous Coverage and Reinstatements; and Accepting Self-Declaration of Eligibility Criteria
• MEPL 149: 2020 Federal Poverty Level Income Guidelines
• MEPL 148: 2020 Federal Mileage Rate
• MEPL 147: 2020 Social Security Cost of Living Adjustment (COLA)
• MEPL 146: Increase in the Average Private Pay Rate for Nursing Facilities
• MEPL 145: MBIWD Premium Calculation
• MEPL 144: Insurance Premiums Deducted from Patient Liability
• MEPL 143: MBIWD Premium Invoices
• MEPL 142: 2019 Minimum Monthly Maintenance Needs Allowance (MMMNA) and Excess Shelter Allowance (ESA) Standards
• MEPL 141: Applications for New State-Funded Medical Assistance for Non-Citizen Victims of Trafficking
• MEPL 140: 2019 Federal Mileage Rate and 2019 Federal Poverty Level Income Guidelines
• MEPL 139: 2019 Social Security Cost of Living Adjustment
• MEPL 138: Initial Pro-rated Period of Restricted Coverage (IPPRC) and Restricted Medicaid Coverage Period (RMCP)
• MEPL 137: 2018 Standard Utility Allowance (SUA) Increase
• MEPL 136: Medicaid: Use of Electronic Verifications for Application Processing
• MEPL 135: Transferring Applications and/or Documentation to an Individual's County of Residence
• MEPL 134: 2018 Minimum Monthly Maintenance Needs Allowance (MMMNA) and Excess Shelter Allowance (ESA) Standards
• MEPL 133: ODM 07408 Notice to Medicaid Estate Recovery of Pending Transfer of Property by Transfer on Death Deed
• MEPL 132: 2018 Federal Poverty Level Income Guidelines for Medicaid Buy-In for Workers with Disabilities (MBIWD)
• MEPL 131: 2018 Federal Poverty Level Income Guidelines for Medicare Premium Assistance Programs (MPAP)
• MEPL 130: 2018 Federal Poverty Level Income Guidelines for MAGI-Based Medicaid
• MEPL 129: 2018 Social Security Cost of Living Adjustment
• MEPL 128: SRS Program Eligibility Criteria Clarification
• MEPL 127: Standard Utility Allowance (SUA) Increase
• MEPL 126: 2017 Minimum Monthly Maintenance Needs Allowance (MMMNA) and Excess Shelter Allowance (ESA) Standards
• MEPL 125: Federal Poverty Level Income Guidelines for Medicaid Buy-In for Workers with Disabilities (MBIWD)
• MEPL 124: Federal Poverty Level Income Guidelines for Medicaid Premium Assistance Programs (MPAP)
• MEPL 123: Federal Poverty Level Income Guidelines for MAGI-Based Medicaid
• MEPL 122: Pregnant Women Receiving MAGI Parent or Caretaker Relative Coverage
• MEPL 121: 2017 Social Security Cost of Living Adjustment (COLA)
• MEPL 120: Children in Receipt of State or Federal Adoption Assistance
• MEPL 119: Standard Utility Allowance Increase
• MEPL 118: Increase in the Average Private Pay Rate for Nursing Facilities
• MEPL 117: Patient Liability Determination and QIT
• MEPL 116: Deferral of Scheduled Renewals for Aged, Blind, or Disabled Eligibility Groups
• MEPL 115:  Spenddown Met Retroactively After the Transition to 1634
• MEPL 114: 2016 Minimum Monthly Maintenance Needs Allowance (MMMNA) and Excess Shelter Allowance (ESA) Standards
• MEPL 113: Incurred expense for medical care
• MEPL 112: Treatment of Annuities
• MEPL 111: 2016 Federal Poverty Level Income Guidelines for Medicaid Buy-In for Workers with Disabilities (MBIWD)
• MEPL 110: 2016 Federal Poverty Level Income Guidelines for Low-Income Medicare Premium Assistance Programs (MPAP)
• MEPL 109: 2016 Federal Poverty Level Income Guidelines for Healthy Families, Healthy Start, and MAGI-Based Medicaid
• MEPL 108: Medicaid Resource Assessment - calculation of the Community Spouse Resource Allowance (CSRA)
• MEPL 107: Treatment of the Home
• MEPL 106: 2016 Social Security Cost of Living Adjustment (COLA)
• MEPL 105: MAGI-Based Medicaid Income and Household Income
• MEPL 104A: Medicare Premium Assistance Programs (MPAP)
• MEPL 104: Medicare Premium Assistance Programs (MPAP)
• MEPL 103: Standard Utility Allowance Increase
• MEPL 102: 2016 Residential State Supplement Program Guidelines
• MEPL 101: Same-Sex Marriage
• MEPL 100: 2015 Minimum Monthly Maintenance Needs Allowance (MMMNA) and Excess Shelter Allowance (ESA) Standards
   

Managed Care Policy Guidance Letters

• MCPPGL 7-19-01 Coordinated Services Program (CSP) Enrollment
• MCPPGL 6-18-12 Newborns and Mothers in SACWIS
• MCPPGL 5-18-08 Transition of Care Requirements
• MCPPGL 4-18-07 Coverage of Home Delivered Meals by MyCare Ohio Plans
• MCPPGL 3-18-07 Restricted Medicaid Coverage Period (RMCP)
• MCPPGL 2-18-06 Autism Services
• MCPPGL 1-18-05: Provider Enrollment, Rendering NPI and Ordering, Referring and Prescribing

• Advanced Practice Nursing
• Ambulatory Surgery Centers
• Billing Instructions
• Buy-in
• Chiropractic Services
• Clinic
• Community Access
• Dental Services
• Durable Medical Equipment (More Information)
• Federally Qualified Health Centers ( MAL ) (More Information)
• Free Standing Birth Centers
• General Information for Medicaid Providers
• Home Health and Private Duty Nursing (More Information)
• Hospice (More Information)
• Hospital Handbook (More Information)
• Laboratory Services
• Managed Health Care (More Information)
• Medicaid Eligibility Manual
• Medicaid Schools Program
• Nursing Facilities (More Information)
• Ohio Home Care (More Information)
• Outpatient Health Facility Services (More Information)
• Pharmacy Services (More Information)
• Physician Services
• Podiatry Services
• Psychology Services
• Rural Health Clinic Services (More Information)
• Therapy Services
• Transportation Fee for Service
• Transportation Non-emergency
• Vision Care Services