Providers:
Check out our monthly must-read designed to help you stay informed, save time and focus on patient care.
Medicaid and FIDE providers: Provider Network Management reminder
Please make sure to maintain and update your information directly within the Provider Network Management (PNM) system. The Ohio Department of Medicaid (ODM)/Maximus Help Desk is intended only for technical issues that providers cannot resolve on their own and should not be used to request that ODM or Maximus staff make updates on a provider's behalf.
Updates made in PNM may not appear immediately in managed care plan systems due to:
- The time it takes for the provider to enter the update in PNM
- ODM review and approval processes, when applicable
- Processing and ingestion of updated data into managed care plan systems
To help ensure accurate provider records and minimize processing delays, providers are encouraged to review their PNM information regularly and submit updates directly through the system whenever changes occur.
For technical assistance with the PNM system, providers may:
- Contact the ODM/Maximus Help Desk at 800-686-1516 or by email IHD@medicaid.ohio.gov.
- Representatives are available Monday-Friday, 8 a.m.-4:30 p.m. Eastern time.
- Contact technical support using the self-service provider functions within the PNM module.
Next Medicaid provider training Sept. 24
Join us for our next Medicaid provider training Sept. 24 at 3 p.m. We are excited to welcome our customer service team, who will be answering common provider questions.
Please complete the form to register. A meeting link to the training will be sent prior to the scheduled session.
Cracking the code: D1110/D1120 and D4346
Use Code D1110/D1120 when, as a preventive procedure, you’re removing plaque, calculus and stains from permanent, primary or transitional dentition.
Use Code D4346 when, post oral evaluation, there’s determined to be moderate or severe gingivitis throughout the mouth without periodontitis. This code is indicated for patients with swollen, inflamed gingival tissue, generalized suprabony pockets and moderate to severe bleeding on probing.
Reminder: Recredentialing
Recredentialing is required every 36 months. Delta Dental’s provider records staff will reach out via email to initiate the recredentialing process.
To learn more about the Provider Application and Credentialing Toolkit (PACT), our self-service credentialing tool, visit the “Credentialing” page on our website.
Medicaid: Press Ganey surveys
Delta Dental of Ohio is working with Press Ganey, a recognized industry leader for healthcare, on various Medicaid provider experience surveys to gauge satisfaction about utilization and quality management, coordination of care, and more.
Your feedback matters to us. Please watch for these surveys in your Inbox and fill them out completely.
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