A Message from ODM:
In March 2020, the Ohio Department of Medicaid (ODM) stopped producing the “Universal Roster” of practitioners affiliated with behavioral health (BH) agencies (MITS provider types 84 and 95) and moved to the MITS Provider Master File as the “system of truth” for Medicaid provider enrollment. (See MITS BITS here.)
However, BH providers requested that ODM continue producing and updating the “CBHC Medicaid Provider File” listing all practitioners affiliated with behavioral health provider agencies. ODM has continued to produce and update the CBHC Medicaid Provider File as a convenience for provider agencies even though they have access to the same information via their secure MITS Portals by reviewing their “group members.”
The previous CBHC Medicaid Provider File excluded providers whose revalidations dates had expired. However, revalidation dates are not applicable during the COVID public health emergency.
Consequently, the current CBHC Medicaid Provider File is no longer accurate because it excludes practitioners who remain active in Ohio Medicaid. ODM staff are working on a solution to this problem, but until a solution can be developed and implemented, the CBHC Medicaid Provider File will be suspended. This issue should have no impact on MITS and Medicaid Managed Care Plan claims systems.
During the public health emergency, both MITS and MCP claims systems should allow claims payment even when dates of service are outside a practitioner’s revalidation dates. Until the CBHC Medicaid Provider file is once again active, provider agencies can access provider information via their secure MITS portal.