Form ODM10282 Managed Care Entity (Mce) out-Of-Network and Managed Care-Only Provider Application - Ohio

Form ODM10282 Managed Care Entity (Mce) out-Of-Network and Managed Care-Only Provider Application - Ohio

What Is Form ODM10282?

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 ODM10282?
A: Form ODM10282 is the application for Managed Care Entity (MCE) Out-of-Network and Managed Care-Only Provider in Ohio.

Q: Who needs to fill out Form ODM10282?
A: Managed Care Entities (MCEs) in Ohio who want to become Out-of-Network or Managed Care-Only Providers need to fill out Form ODM10282.

Q: What is a Managed Care Entity (MCE)?
A: A Managed Care Entity (MCE) is an organization that contracts with the Ohio Department of Medicaid to provide medical services to managed care enrollees.

Q: What is an Out-of-Network Provider?
A: An Out-of-Network Provider is a healthcare provider that does not have a contract with a specific insurance company or managed care organization.

Q: What is a Managed Care-Only Provider?
A: A Managed Care-Only Provider is a healthcare provider that only accepts patients with specific managed care insurance plans.

Q: Why do MCEs need to fill out Form ODM10282?
A: MCEs need to fill out Form ODM10282 to apply to become Out-of-Network or Managed Care-Only Providers in Ohio.

Q: Are there any fees associated with submitting Form ODM10282?
A: There are no fees associated with submitting Form ODM10282.

Q: What other documents may be required along with Form ODM10282?
A: Depending on the specific requirements of the Ohio Department of Medicaid, additional documents such as provider agreements or contracts may be required along with Form ODM10282.

Q: How long does it take to process Form ODM10282?
A: The processing time for Form ODM10282 may vary. It is recommended to contact the Ohio Department of Medicaid for an estimated processing time.

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Form Details:

  • Released on February 1, 2022;
  • 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;

Download a fillable version of Form ODM10282 by clicking the link below or browse more documents and templates provided by the Ohio Department of Medicaid.

Download Form ODM10282 Managed Care Entity (Mce) out-Of-Network and Managed Care-Only Provider Application - Ohio

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