Ohio Medicaid Fiscal Intermediary Update


10 a.m. - Noon

During the managed care procurement process, the Ohio Department of Medicaid received feedback highlighting the need to streamline and simplify administrative tasks. An avenue to address these pain points is to implement a Fiscal Intermediary, or FI.

The FI will serve as a single point of entry for all provider claims and prior authorization requests submitted to the Provider Network Management, or PNM, portal or through EDI. It will facilitate processing of and transitioning claims and requests to Ohio Medicaid’s future managed care organizations as well as receive updates back from those organizations and be able to convey these to providers, making the process more transparent and efficient. The FI will also enable ODM to have greater insight into claims and prior authorizations requests, allowing them to more effectively identify and address trends.

Representatives from ODM will provide an overview of the FI, highlighting functionality and the implications on the Medicaid MCOs and enrolled providers as well as sharing the FI’s training and implementation schedules.

Learning objectives

  • Increase understanding of the functionality of the FI
  • Gain an understanding of the implications of the FI on Medicaid MCOs and enrolled providers
  • Be prepared for the implementation of the FI


  • Eric Scott, Senior Financial Manager, Ohio Department of Medicaid
  • Travis Moore, Deputy Director, Ohio Department of Medicaid

Registration Fees

No charge for OHA members, due to the generous support of OHA Corporate Partners.

Who Should Attend
OHA Member Hospital CFOs, Accountants, Director of PFS, Director of Revenue Cycle, Director of Coding, Directors of Revenue/Reimbursement, Analysts, Coding and Claims.

More Information
See the series brochure here.