Manuals & Reference Materials 

Ohio Department of Medicaid - Guidance Publications 

Ohio Department of Medicaid - Hospital Transmission Letters

Ohio Administrative Code - 5160 Medicaid

Ohio Administrative Code (OAC)

• OAC 5160-2-40: Pre-certification Review 
• OAC 5160-2-03: Conditions and Limitations 
• OAC 5160-1-31: Prior authorization [except for services provided through medicaid contracting managed care plans (MCPs)] 

Behavioral Health Clinical Guidelines

• Ohio Medicaid UM - ACT Clinical Guidelines
• Ohio Medicaid UM - IHBT Clinical Guidelines
• Ohio Medicaid UM - SUD Partial Hospitalization LOC
• Ohio Medicaid UM - SUD Residential Treatment

KEPRO Atrezzo Provider Portal

OHM Retro Submitted Status Instructions on the Atrezzo Provider Portal

Home Health Prior Authorization Atrezzo Provider Portal Submission Requirements

Retrospective Claims Reviews Atrezzo^TM Provider Portal Medical Record Submission Requirements

KEPRO Atrezzo Provider Portal User Guide (coming soon)