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  3. Ohio GOP and JD Vance strikes again: Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Provider Enrollment Moratorium for Ohio Medicaid

Ohio GOP and JD Vance strikes again: Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Provider Enrollment Moratorium for Ohio Medicaid

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ohiomedicaid
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  • paul@oldfriends.liveP This user is from outside of this forum
    paul@oldfriends.liveP This user is from outside of this forum
    paul@oldfriends.live
    wrote last edited by
    #1

    Ohio GOP and JD Vance strikes again: Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Provider Enrollment Moratorium for Ohio Medicaid

    The #Ohio Department of Medicaid (ODM) is implementing a temporary moratorium on the enrollment of new Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) providers. This action aligns with federal guidance issued through CMS-6099-N and is authorized under 42 CFR 455.470. ODM is implementing this optional moratorium to support federal program integrity efforts and to ensure consistent oversight of high-risk provider types.

    Moratorium Effective Dates: June 10, 2026, through December 10, 2026.

    What This Means for #Ohio #Medicaid Providers and Stakeholders:

    ODM will not accept new Medicaid enrollment applications for DMEPOS suppliers during the moratorium.

    Existing enrolled providers may request a DMEPOS specialty during this period.
    Currently enrolled DMEPOS providers may continue to provide services, bill Medicaid, and update their provider information as needed.

    Revalidations and changes to existing provider records will continue to be processed.

    Exceptions are allowed as permitted under 42 CFR 424.570(a)(1)(iii) and 42 CFR 424.550.

    https://content.govdelivery.com/accounts/OHMEDICAID/bulletins/417445f

    jason844@mastodon.socialJ paul@oldfriends.liveP 2 Replies Last reply
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    • paul@oldfriends.liveP paul@oldfriends.live

      Ohio GOP and JD Vance strikes again: Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Provider Enrollment Moratorium for Ohio Medicaid

      The #Ohio Department of Medicaid (ODM) is implementing a temporary moratorium on the enrollment of new Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) providers. This action aligns with federal guidance issued through CMS-6099-N and is authorized under 42 CFR 455.470. ODM is implementing this optional moratorium to support federal program integrity efforts and to ensure consistent oversight of high-risk provider types.

      Moratorium Effective Dates: June 10, 2026, through December 10, 2026.

      What This Means for #Ohio #Medicaid Providers and Stakeholders:

      ODM will not accept new Medicaid enrollment applications for DMEPOS suppliers during the moratorium.

      Existing enrolled providers may request a DMEPOS specialty during this period.
      Currently enrolled DMEPOS providers may continue to provide services, bill Medicaid, and update their provider information as needed.

      Revalidations and changes to existing provider records will continue to be processed.

      Exceptions are allowed as permitted under 42 CFR 424.570(a)(1)(iii) and 42 CFR 424.550.

      https://content.govdelivery.com/accounts/OHMEDICAID/bulletins/417445f

      jason844@mastodon.socialJ This user is from outside of this forum
      jason844@mastodon.socialJ This user is from outside of this forum
      jason844@mastodon.social
      wrote last edited by
      #2

      @paul Gotta stop all that "fraud." Oh, yes, and be deliberately cruel. 🤬

      1 Reply Last reply
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      • paul@oldfriends.liveP paul@oldfriends.live

        Ohio GOP and JD Vance strikes again: Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Provider Enrollment Moratorium for Ohio Medicaid

        The #Ohio Department of Medicaid (ODM) is implementing a temporary moratorium on the enrollment of new Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) providers. This action aligns with federal guidance issued through CMS-6099-N and is authorized under 42 CFR 455.470. ODM is implementing this optional moratorium to support federal program integrity efforts and to ensure consistent oversight of high-risk provider types.

        Moratorium Effective Dates: June 10, 2026, through December 10, 2026.

        What This Means for #Ohio #Medicaid Providers and Stakeholders:

        ODM will not accept new Medicaid enrollment applications for DMEPOS suppliers during the moratorium.

        Existing enrolled providers may request a DMEPOS specialty during this period.
        Currently enrolled DMEPOS providers may continue to provide services, bill Medicaid, and update their provider information as needed.

        Revalidations and changes to existing provider records will continue to be processed.

        Exceptions are allowed as permitted under 42 CFR 424.570(a)(1)(iii) and 42 CFR 424.550.

        https://content.govdelivery.com/accounts/OHMEDICAID/bulletins/417445f

        paul@oldfriends.liveP This user is from outside of this forum
        paul@oldfriends.liveP This user is from outside of this forum
        paul@oldfriends.live
        wrote last edited by
        #3

        2/ Ohio to pause enrollment for home health, nursing home care at home (waiver program) and hospice providers for six months while existing providers undergo a program integrity review. Provider types impacted:

        16 - other accredited Home Health Agency
        25 - Personal care
        26 - Home care attendants
        38 - Non-agency nurse all specialties
        44 - Hospice
        45 - Waiver organizations
        55 -Waiver individual provider
        60 - Medicare Certified Home Health

        #Ohio #Medicaid #HomeHealth

        https://governor.ohio.gov/media/news-and-media/governor-dewine-announces-new-medicaid-fraud-prevention-initiatives?utm_medium=email&utm_source=govdelivery

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