05/20/2024

Important Ohio Medicaid Provider Update Regarding Change Healthcare Connectivity

The Ohio Department of Medicaid provided the following update on 5/17/24 regarding Change Healthcare developments:

As you may be aware, on February 21, Change Healthcare (CHC), a healthcare technology company that is part of Optum and owned by UnitedHealth Group, experienced a cyberattack that resulted in the company immediately taking their systems offline. The attack significantly impacted healthcare providers, trading partners, and Medicaid members nationwide. Upon announcement of the attack, the Ohio Department of Medicaid (ODM) disabled connections to and from CHC because of its role as an ODM trading partner and as a clearinghouse for providers and HIPAA covered entities.

ODM worked with CHC to securely re-enable the company’s Electronic Data Interchange (EDI) connectivity with the Ohio Medicaid Enterprise System (OMES). On May 6, we re-established the connection. Providers will need to reach out to CHC directly to confirm which OMES services have been re-enabled by CHC.

CHC provided the following URL where updates on re-activated payers are posted: Payer Lists | Change Healthcare.

As a reminder, ODM issued a limited exception to the timely filing requirements for fee-for-service and managed care claims. For more information, please review the March 1 edition of the ODM Press.

ODM understands the significant impact this incident has had on your operations and appreciates your patience during this time. For any CHC-related needs or concerns on your EDI transactions with the OMES, please contact your designated CHC representative.

For additional EDI support, please contact the ODM EDI Integrated Helpdesk (IHD) at 800-686-1516 option 4, or email omesedisupport@medicaid.ohio.gov. Representatives are available 8 a.m.‐4:30 p.m. Eastern time, Monday‐Friday.