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West Region
April 5, 2023
April Managed Care Plan Update

This past month, the managed care plans have published updates on events and policy changes impacting their organizations.

CareSource Update:

  • ODM EDI Claims and Bridge Payments for Providers: CareSource has updated that as part of the Next Generation program transition, ODM developed extensive monitoring and a variety of contingency plans. Specifically, Ohio Medicaid is now initiating extra measures to minimize provider disruption and ensure payment continuity. ODM is also providing an opportunity for certain billing providers to opt-in to be considered to receive temporary bridge payments due to delays in processing claims through ODM and MCE IT systems. To be considered for a bridge payment, provider must (1) “opt-in” by providing information to ODM.  Click here to read more about this update.
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