Form ODM02920 Medicaid Provider Final Settlement - Ohio

Form ODM02920 Medicaid Provider Final Settlement - Ohio

What Is Form ODM02920?

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 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.

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Form Details:

  • Released on July 1, 2014;
  • 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 ODM02920 by clicking the link below or browse more documents and templates provided by the Ohio Department of Medicaid.

Download Form ODM02920 Medicaid Provider Final Settlement - Ohio

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  • Form ODM02920 Medicaid Provider Final Settlement - Ohio, Page 1
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