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Provider Contracting Information

To learn more about how to contract with Ohio Medicaid’s Next Generation managed care organizations (MCOs) or how a provider becomes credentialed, refer to information presented in the tabs below.

1. Contracting with ODM's Next Generation MCOs

Providers interested in contracting with Ohio Medicaid’s Next Generation MCOs can contact them via the Provider Relations contact information listed in the table below.

Next Generation MCO Provider Relations Contact Information

MCO

 Phone Number

Web Address

Email

AmeriHealth Caritas Ohio, Inc. 1-833-296-2259​  https://www.amerihealthcaritasoh.com/provider/index.aspx   ProviderRecruitmentOH@amerihealthcaritas.com 
Anthem Blue Cross and Blue Shield 1-800-462-3589

https://www.anthem.com/provider/getting-started  ​

OHMedicaidProviderQuestions@Anthem.com  ​
CareSource Ohio, Inc.​ 1-800-488-0134 https://www.caresource.com/oh/providers/education/become-caresource-provider/medicaid   Ohio_Provider_Contracting@caresource.com  ​
Humana Healthy Horizons in Ohio​ 1-877-856-5707 https://www.humana.com/provider/medical-resources/ohio-medicaid  OHMedicaidProviderRelations@humana.com
Molina Healthcare of Ohio, Inc.   1-855-322-4079​ https://www.molinahealthcare.com/providers/oh/medicaid/home.aspx ​ OHContractRequests@MolinaHealthCare.com  ​
UnitedHealthcare Community Plan of Ohio, Inc.  ​ 1-​800-600-9007​ https://www.uhcprovider.com/en/resource-library/Join-Our-Network.html  N/A
Buckeye Community Health Plan​ 1-866-246-4358 https://www.buckeyehealthplan.com/providers/become-a-provider/join-our-network.html OHNegotiators@CENTENE.COM

As of October 1, ODM has implemented centralized provider credentialing, meaning providers no longer need to seek credentialing individually through each MCO. To learn more, visit the PNM & Centralized Credentialing page.

2. Contracting with the OhioRISE Plan

Providers interested in contracting with Aetna, the OhioRISE plan, to provide behavioral health services to children and youth enrolled in the OhioRISE program are encouraged to contact Aetna Better Health of Ohio. Providers can contact Aetna via the Provider Relations contact information listed below.

OhioRISE Provider Relations Contact Information

MCO

Phone Number

Web Address

Email

Aetna Better Health of Ohio, Inc

1-855-364-0974

https://www.aetnabetterhealth.com/ohio/providers/join

OHRISE-Network@aetna.com

3. Contracting with the SPBM Vendor, Gainwell Technologies

Pharmacies must be enrolled with ODM to contract with the SPBM vendor, Gainwell Technologies. Pharmacies can enroll at any time if they are not already enrolled.

The pharmacy will then need to contract with Gainwell. All pharmacies will have to contract with Gainwell to provide pharmacy services for Medicaid managed care members. For pharmacy contracting questions, Gainwell may be reached by email at OH_MCD_PBM_network@gainwelltechnologies.com or by phone at (833) 491-0364.