Ohio Medicaid Electronic Eligibility Changes
CollaborateMD Blog
Ohio Medicaid recently updated its electronic eligibility system, and the clearinghouse wanted you to be aware of the following changes impacting providers:

Ohio Medicaid search options have changed effective immediately:

Previous search option: All three fields were required for a valid search:
• Last Name
• First Name
• Date of Birth

New search options: Two of the following fields are required for a valid search:
• Medicaid ID
• Last Name
• Social Security Number
• Date of Birth

Ohio Medicaid is now returning the following to indicate a non-eligible patient:
• AAA 52 - Service Dates Not Within Provider Enrollment

The clearinghouse has asked this payer to return a more standard non-eligible response so that it is easier to understand. We will provide updates as we receive them.

Action Required: Please be aware of recent changes.

If you have any questions, please contact Client Services at 1-888-348-8457, option 2.