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.
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.
Form Details:
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.