Source: Ohio Department of Medicaid
Updates have been made to two forms used by Medicaid behavioral health providers. The form updates, made in collaboration with MCOs and BH Providers and Stakeholders, are intended to improve clarity and ease of use and reflect the new Next Generation MCOs that began coverage on February 1, 2023.
The two updated forms are:
Ohio Medicaid Authorization Form – Community Behavioral Health
Previously known as the “Uniform PA Form” this document was revised to update the services list and add new MCOs. It was also revised for clarity and ease of use. The updated form can be found on the Managed Care section of the BH.medicaid.ohio.gov website.
SUD Residential Treatment Notification of Admission Form
Minor updates made to this form include:
The updated SUD Residential Treatment Notification of Admission Form is available on the ODM Forms webpage by searching for “Substance Use Disorder Residential Treatment Notification of Admission Form”