Form ODM06755 Ohio Medicaid Provider Number Application for Managed Care Plans - Ohio

What Is Form ODM06755?

This is a legal form that was released by the Ohio Department of Medicaid - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the purpose of Form ODM06755?
A: Form ODM06755 is used to apply for an Ohio Medicaid provider number for managed care plans.

Q: Who needs to complete Form ODM06755?
A: Healthcare providers who want to participate in Ohio Medicaid managed care plans need to complete this form.

Q: How do I fill out Form ODM06755?
A: The form requires information about the provider and their practice, along with documentation of required credentials and qualifications.

Q: Are there any fees associated with submitting Form ODM06755?
A: No, there are no fees for submitting this form.

Q: How long does it take to process the application?
A: The processing time can vary, but it typically takes around 30 days for the application to be reviewed and approved.

Q: What happens after the application is approved?
A: Once the application is approved, the provider will receive a Medicaid provider number for managed care plans, allowing them to participate in the program.

Q: Can I apply for multiple provider numbers?
A: No, each provider should only submit one application for a Medicaid provider number.

Q: Is the provider number specific to managed care plans in Ohio?
A: Yes, this provider number is specifically for participation in Ohio Medicaid managed care plans.

Q: Can I participate in Medicaid without a provider number?
A: No, a provider number is required to participate in Ohio Medicaid managed care plans.