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
OHM Retro Submitted Status Instructions on the Atrezzo Provider Portal
Home Health Prior Authorization Atrezzo Provider Portal Submission Requirements
Retrospective Claims Reviews AtrezzoTM Provider Portal Medical Record Submission Requirements
KEPRO Atrezzo Provider Portal User Guide (coming soon)