PDF
Word
Form ODM10267 Managed Care & Mycare Ohio Organization Pilot Program Request Template - Ohio
What Is Form ODM10267?
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.
FAQ
Q: What is ODM10267?
A: ODM10267 is the template for requesting participation in the Managed Care & Mycare Ohio Organization Pilot Program in Ohio.
Q: What is the Managed Care & Mycare Ohio Organization Pilot Program?
A: The Managed Care & Mycare Ohio Organization Pilot Program is a program in Ohio that aims to improve healthcare delivery and outcomes for individuals receiving Medicaid benefits.
Q: Who can use the ODM10267 template?
A: Healthcare organizations and providers in Ohio can use the ODM10267 template to request participation in the pilot program.
Q: What information is required in the ODM10267 template?
A: The template requires information about the applicant organization, their capacity and capabilities, and their adherence to program requirements.
Form Details:
- Released on March 1, 2021;
- The latest edition provided by the Ohio Department of Medicaid;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form ODM10267 by clicking the link below or browse more documents and templates provided by the Ohio Department of Medicaid.
Download Form ODM10267 Managed Care & Mycare Ohio Organization Pilot Program Request Template - Ohio
1
2
3
4
