Form ODM03300 Provider Reporting Number Application for Managed Care Plan (Mcp) Providers - Ohio

Form ODM03300 Provider Reporting Number Application for Managed Care Plan (Mcp) Providers - Ohio

What Is Form ODM03300?

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 ODM03300 Provider Reporting Number Application for Managed Care Plan (Mcp) Providers?
A: ODM03300 is the application form for healthcare providers in Ohio to obtain a Provider Reporting Number for Managed Care Plan (Mcp) participation.

Q: Who needs to fill out the ODM03300 form?
A: Healthcare providers in Ohio who wish to participate in a Managed Care Plan (Mcp) need to fill out this form.

Q: What is a Provider Reporting Number?
A: A Provider Reporting Number is a unique identifier assigned to healthcare providers in Ohio to track their participation in Managed Care Plans (Mcp).

Q: Why do I need a Provider Reporting Number?
A: You need a Provider Reporting Number to participate in Managed Care Plans (Mcp) in Ohio and to receive payment for services provided to members of these plans.

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Form Details:

  • Released on March 1, 2017;
  • The latest edition provided by the Ohio Department of Medicaid;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form ODM03300 by clicking the link below or browse more documents and templates provided by the Ohio Department of Medicaid.

Download Form ODM03300 Provider Reporting Number Application for Managed Care Plan (Mcp) Providers - Ohio

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