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  • Oh Odm 09401 2019

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Ohio Department of MedicaidFACILITY COMMUNICATION This form is to be used to report admissions to and discharges from nursing facilities (NF) for Medicaid FeeForService (FFS) and Managed Care or MyCare.

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Related content

FACILITY COMMUNICATION
ODM 09401 (Rev. 7/2019). Ohio Department of Medicaid. FACILITY COMMUNICATION. This form is...
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Ohio Admin. Code 5160-3-02 - Nursing facilities...
ODM 09401 "Facility/CDJFS Transmittal" ( rev. · 7/2014 ) to the CDJFS to inform the CDJFS...
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Related links form

2008 Form 8606 2008 Irs Form 8801 8812 Form Form 8832 2008

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Income & Asset Limits for Eligibility 2023 Ohio Medicaid Long-Term Care Eligibility for SeniorsType of MedicaidSingleMarried (both spouses applying)Income LimitIncome LimitInstitutional / Nursing Home Medicaid$2,742 / month*$5,484 / month*Medicaid Waivers / Home and Community Based Services$2,742 / month†$5,484 / month†1 more row • Jan 6, 2023

(D) Timely filing: (1) Claims are timely if received by ODM within: (a) Three hundred sixty-five days of the actual date the service was provided. (b) Three hundred sixty-five days from the date of discharge for inpatient hospital claims.

Medicare claims must be filed no later than 12 months (or 1 full calendar year) after the date when the services were provided. If a claim isn't filed within this time limit, Medicare can't pay its share.

Ohio Medicaid delivers health care coverage to more than 3 million Ohio residents. Of those, more than 90% receive coverage through one of five MCOs - Buckeye Health Plan, CareSource, Molina Healthcare, Paramount Advantage, or UnitedHealthCare Community Plan.

Providers have 365 days from the date of service or discharge to submit a corrected claim.

If you're a provider, call our Provider Hotline at 800-686-1516. If you're an Ohio Medicaid member, call our Consumer Hotline at 800-324-8680.

After two decades of success as a radio host and DJ (including a #1 spot on his night shows for Riverside's 99.1 KGGI FM & Los Angeles's 102.7 KIISFM), ODM is continuing his work in all things Hip-Hop.

Call us, toll free at the following number: 1-866-635-3748, and choose option number one from the automated voice menu. If your assistance is continuing and you lose the hearing, you may have to pay back any benefits that you were not eligible to receive.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232