All billing must be submitted by computer over the DODD Billing System (MBS) that is on the DODD website: DODD-Online (Note: Most public libraries have computers you can use)
For MBS access, you must submit a Security Affidavit. The form is available by using your mouse to click: Request On-line Security. Print the form, complete it and fax it to: (614) 752-4673. A User Name and password will be e-mailed to you. Make sure we have your current e-mail address.
A complete guide to billing information is contained in the “Medicaid Waiver Billing Instructions” that you received when you became a provider. If you need another copy, you can access it at: billing instructions
If you do not wish to do your own billing, you may hire a billing agent to submit your online billing for you. A list of acceptable billing agents is available upon request. Note: It is STILL your responsibility to track and follow your claims through the 21 day process.
You must fill out a “Security Affidavit” to obtain a User Name and Password. You can get the affidavit by clicking: Request On-line Security
It can take up to 10 days to receive your User Name and Password and they will be sent to the e-mail address that we have on file. Questions about your User Name and Password should be e-mailed to: Security Support
The processing time for claims submitted by 11:30 a.m. on Wednesdays is 21 days. The 21-day cycle is for claims that are not rejected for any reason (such as input errors, ODJFS service denials, and Tax Liens). Claims containing errors will have to be corrected and resubmitted. Please note, if DODD doesn’t have updated information (such as an updated address and W-9 in place), payment will be held.
There are a number of reasons your claims can ERROR (there are 49 error codes). The most common reasons are related to the Payment Authorization for Waiver System (PAWS):
A section in the Medicaid Waiver Billing Instructions for CLAIMS REJECTED AS ERRORS will help you understand and correct the problem(s).
View the copy of the PAWS that you received from the county. Compare the number of units you have billed and subtract the number from the total units for the service code you are allowed for the time span. This will give you the number of units you can bill. If you still need help, please contact the county board from which you received your PAWS confirmation.
To fix the error, you need to delete the entire file by hitting the delete button, which is next to the view button. Then start a new file. As of right now, there is no way to “edit” a file once it has been submitted. You must delete the incorrect file prior to the file being picked up for MBS production which occurs at 11:30 every Wednesday.
You are a self-employed contractor. Your taxes are not taken from your check. You will be sent a Form 1099 each year by January 31 by the Office of Budget Management, not DODD. You can contact the IRS to set up a small business account to deposit a portion of your check to be used to pay your taxes. Go to the IRS website at: www.irs.gov for details.
The Office of Budget Management closes down their system for the last two weeks of every fiscal year (June) to balance. What this means to you as a provider is that the last week of June you will not be paid in the normal 21-day turn around. You will get a double payment in the first week of July if you bill weekly.
If you have not been reimbursed by DODD for a year or more, you need to get a hold of Provider Certification at 1-877-289-3636 or e-mail them at certification.support@odmrdd.state.oh.us to get the proper paperwork to update your ODJFS provider file and your State Accounting information so you can receive reimbursement for the services you rendered.
You may also lose your MBS access if you have not logged on to MBS for over 90 days. You will be required to fill out another Security Affidavit.