Effective October 1, 2022 all provider enrollment applications must be submitted using Ohio Medicaid’s new Provider Network Management (PNM) module. After its implementation, the PNM module will be the single point for providers to complete provider enrollment, centralized credentialing, and provider self-service.
For more information about enrolling as a Medicaid provider, please visit the following link:
CBHC Practitioner Enrollment File - As of December 3, 2022
As of 10/15/2022, ODM has resumed production of the CBHC Practitioner Enrollment File.
The National Provider Identifier
The Ohio Department of Medicaid (ODM) requires that providers and practitioners who want to furnish Medicaid covered services to Medicaid recipients enroll as Medicaid providers. This includes both providers and practitioners who will submit claims seeking reimbursement for services furnished to Medicaid recipients and rendering practitioners who are employed by provider groups or organizations who will submit claims to the department for payment.
When enrolling in Medicaid through the ODM Provider Portal health care providers/practitioners must submit to the department the 10-digit National Provider Identifier (NPI) assigned to them by the National Plan and Provider Enumeration System (NPPES). This 10-digit number is the single identifier required by all public and private health plans. The NPPES website contains instructions for completing an application and fully describes each component of the application process. See links at right.
Taxonomy Code for a National Provider Identifier
When applying for an NPI, providers and practitioners must provide a taxonomy code. The taxonomy code is an alphanumeric code, 10 characters in length. The alphanumeric code is structured into three levels; provider grouping, classification and area of specialization. Taxonomy codes are self-selected by the provider or practitioner completing the NPI application, and providers and practitioners are required to identify at least one taxonomy to associate with their NPI. If more than one taxonomy code is selected, one of the selected codes must be identified as the primary taxonomy. Provider Taxonomy codes and their descriptions can be found on the Washington Publishing Company’s web page.
See information on how to enroll a rendering practitioner in Ohio Medicaid via the PNM, please visit:
Resources for Enrolling Practitioners in Medicaid
Enrolling Practitioners with PNM - website
Effective Compliance Programs - PDF
To apply for an NPI - website
For NPI-related questions - website
Health Care Provider Taxonomy - PDF
Provider Taxonomy Codes - website