Get Ohio State Program Regulatory ... - Optumrx

This guide provides comprehensive instructions on properly completing the OHIO STATE PROGRAM REGULATORY REQUIREMENTS APPENDIX for OptumRx. Following each step thoroughly will ensure that you successfully submit the form as required.

Follow the steps to fill out the OHIO STATE PROGRAM REGULATORY REQUIREMENTS APPENDIX

1. Click ‘Get Form’ button to access the form and open it for editing.
2. Begin by reviewing the Applicability section to understand which Medicaid benefit plans this appendix covers. Ensure that you are familiar with the types of services and the legal context of the program.
3. Proceed to the Definitions section, and ensure you are clear on the terms like ‘Covered Person’ and ‘Covered Services’ as they are crucial for filling out subsequent sections accurately.
4. Move to the Provider Requirements section, and read through each paragraph carefully. Identify any clauses that may affect your obligations as a provider.
5. Fill in any required details in the applicable sections, addressing Provider Requirements directly related to your practice. Ensure compliance with defined standards.
6. Complete any sections regarding claims and billing practices, ensuring you adhere to procedures outlined by the State Medicaid Program.
7. Review the sections on Compliance with Law and Indemnification to ensure you are abiding by appropriate legal and contractual obligations.
8. Finally, check the details for the termination and notification requirements to confirm your understanding of how these clauses may affect your operations.
9. Once completed, ensure to save any changes, download, print, or share the form as necessary.

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