Medicaid

How to Get Credentialed with Ohio Medicaid in Ohio

Network: Open
30-60 Days

Quick Overview

Timeline

30 - 60 days

CAQH

Not Required

Re-credentialing

Every 5 year(s)

Delegated

No

Ohio-Specific Requirements

Ohio Medicaid Managed Care enrollment steps: (1) Obtain NPI via NPPES. (2) Register through the ODM (Ohio Department of Medicaid) MITS (Medicaid Information Technology System) provider enrollment portal. (3) Submit application with OH state license, proof of malpractice insurance, and required documentation. (4) Background check including BCI (Bureau of Criminal Investigation) and FBI fingerprint check is required for all providers. Ohio operates managed care through 6 MCOs covering the majority of Medicaid beneficiaries. Behavioral health providers accepted include LPCC, LISW, and LMFT with active Ohio licensure. Revalidation is required every 5 years.

Medicaid Information — Ohio

Agency: Ohio Department of Medicaid

Program: Ohio Medicaid

Portal: https://portal.ohmits.com

Phone: 1-800-686-1516

Step-by-Step Enrollment Process

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Ohio.

2

Prepare Your Application

Complete Ohio Medicaid's provider enrollment application with all required information and supporting documentation.

3

Submit Your Application

Submit your completed enrollment package to Ohio Medicaid.

4

Track & Follow Up

Credentialing typically takes 30-60 days. Monitor your application status and respond promptly to requests for additional information.

Required Documents Checklist

Background Check

BCI&I background check required

CV/Resume

Work history required

Malpractice Insurance

Conditional

Required in most states; some state programs waive for government employees

Medical License

NPI Certificate

Enrollment Forms

Ohio Medicaid Provider Enrollment (MITS)

Required
Online Open →

Contact Information

Provider Enrollment

National

1-800-686-1516

General Provider Inquiries

National

1-800-686-1516

Quick Links

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