Job & Family Services - Ohio Health Plans
Ohio Medicaid

Ohio's Medicaid Program > Providers >

Provider Assistance, Ombudsman & MACs

Provider Assistance
1-800-686-1516

Our provider call center is accessed through the Interactive Voice Response System. Representatives answer questions on billing, payment, claim status and consumer eligibility. Billing Provider Assistance staff also conduct problem claims review.

Are you using Electronic Data Interchange (EDI)? EDI is the transmission of claims electronically to ODJFS through an intermediary known as a Trading Partner. It is the preferred filing method for health care providers. Reduction of paper claims, fewer errors and faster reimbursement are just a few reasons to consider electronic claim submission.

Ombudsman / Technical Assistance
614-752-9551

The Ombudsman / Technical Assistance area:

  • conducts on-site Medicaid Provider Billing assistance to Medicaid providers 
  • conducts provider seminars working in conjunction with various provider associations (e.g. OSMA, OHA, OAMES, ORA, etc.)
  • conducts Nursing Facility Direct Bill Medicaid billing training
  • resolves specific Medicaid claim issues for providers and other Medicaid areas
  • assists in identifying Medicaid system and policy issues
  • conducts New Provider Basic Medicaid Billing Training for all providers
  • 2008 Training Schedule
  • Training Registration Form

    • Medical Assistance Coordinators (MACs)


    The Medical Assistance Coordinators (MACs) work with providers, county department of job and family services (CDJFS), consumers and other community agencies to educate and provide problem resolution on Medicaid, Disability Assistance and other medical issues.

    The MACs operate in 5 regions in Ohio and are responsible for the counties within their region. MACs work with counties, consumers and providers on a wide range of Medicaid issues including:

    • Consumer complaints (i.e. Hotline call referrals)
    • Buy-In Medicare (MPAP) conflicts and problems
    • Spenddown issues
    • Community outreach and education
    • Nursing Home rule clarifications (admission issues, personal needs accounts, patient liability, QMB eligibility, state hearings, etc.)
    • Training of county staff on MMIS CRIS-E systems issues and updates
    • County Medicaid update meetings
    • Assisting county staff with Medicaid provider issues
    • Long-Term Care technical assistance to counties
    • Technical assistance to all Medicaid providers
    • Identification and resolution of systems interface problems
    • Representation on various committees and workgroups