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ODJFS has announced an implementation date for the new CMS 1500 form, version 08/05.
Beginning with claims submitted on May 27, 2007, all providers who submit claims directly to Medicaid on a 1500 may use either form until further notice.
The billing instructions for the old form have been revised and are effective with claims submitted on or after May 27, 2007.
NOTE: The new form can be used as of 5/27/07 regardless of date of service. The change has no impact on providers who utilize EDI vendors, with the exception of reporting NPI's for those who are required to obtain one. Regardless of the form used, any provider who is required to use an NPI must begin using it on claims submitted on or after May 27, 2007. This applies to paper claims and EDI claims.
Failure to follow the new instructions (either form) may result in claim denials or incorrect payment.
Click on the links below for the appropriate instructions
CMS 1500 Instructions OLD form effective 052707
CMS1500 Instructions New From (CMS version 2005)
CMS 1500 version 0805 NEW-Sample Only
ODJFS no longer mails Medical Assistance Letters and updated program information to providers. Updates and new information is only available on-line and providers are responsible for checking for updates on their own
| Need help completing the CMS 1500? See instructions above |
| Why is it important for Providers to have a copy of the All Service Plan? Click Here |
| What is Overpayment ? Click Here |
| What is a Notice of Operational Deficiency (NOD)? Click Here |
| What is a Corrective Action Plan? Click Here |
How are Providers monitored? Click Here
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| Want to view Current and past Provider Update Newsletters? Click Here |
Ohio Home Care Billing and Provider Reimbursement Update July 19, 2006
Important information from ODJFS about program changes being implemented by the department which include payment system modifications.
Click her to view PDF file
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