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 Form ODM02920?
A: Form ODM02920 is the Medicaid Provider Final Settlement form specific to the state of Ohio.
Q: Who needs to fill out Form ODM02920?
A: Medicaid providers in Ohio who are required to submit a final settlement for their Medicaid services need to fill out this form.
Q: What is the purpose of Form ODM02920?
A: The purpose of Form ODM02920 is to report the final settlement of payments and services provided to Medicaid beneficiaries in Ohio.
Q: How do I fill out Form ODM02920?
A: To fill out Form ODM02920, you will need to provide the required information about the services provided, the payments received, and any adjustments or balances.
Q: Are there any deadlines for submitting Form ODM02920?
A: Yes, there are specific deadlines for submitting Form ODM02920. It is important to adhere to these deadlines to avoid any penalties or delays in payment.
Q: What should I do if I have questions about Form ODM02920?
A: If you have any questions about Form ODM02920, you should contact the Ohio Department of Medicaid for assistance.
Q: Is Form ODM02920 specific to Ohio only?
A: Yes, Form ODM02920 is specific to the state of Ohio and is not applicable to other states.
Q: What happens after I submit Form ODM02920?
A: After you submit Form ODM02920, the Ohio Department of Medicaid will review your submission and process the final settlement accordingly.
Form Details:
Download a fillable version of Form ODM02920 by clicking the link below or browse more documents and templates provided by the Ohio Department of Medicaid.