Providers are responsible for many tasks; including but not limited to personal care, medication administration, transportation, documentation, billing, incident reporting, and ongoing training.
The County Board Provider Support department is available to answer questions and to ensure that all Providers are empowered to provide high quality services and supports to all individuals served.
We have a variety of resources and information available to assist you, including;
Request for Providers
If you have questions about how to view and respond to Request for Providers (RFPs), please contact us at [email protected].
Electronic Visit Verification (EVV)
Providers of routine Homemaker Personal Care (HPC), Participant Directed Homemaker Personal Care (PD-HPC), and/or IO waiver nursing are required to use Electronic Visit Verification (EVV). Information about EVV can be found here.
PDHPC & Morning Sun
For Providers of Participant Directed Homemaker Personal Care (PD-HPC), more information about the service and the role of Morning Sun Financial Management Services can be found in this document: Providing PDHPC to Individuals on the SELF Waiver.
Compliance Reviews
All Providers will have, at minimum, one compliance review during each certification span. Lake County compliance reviews will be completed by a reviewer from DODD or the North East Ohio Network (NEON). More information about compliance reviews and what is required can be found here or visit https://dodd.ohio.gov/about-us/compliance-resources/Resources.
National Provider Identifier (NPI) Requirement for Waiver Providers
The NPI number is a requirement for all providers. ODM implemented a policy under Administrative Code 5160-1-17 requiring all providers to obtain a National Provider Identifier (NPI) and keep it on file with ODM. Federal law requires that an NPI be used to identify providers on any standard transaction for health care services and since waiver services are paid in part using federal Medicaid funds, you must obtain an NPI. It is separate from your DODD provider number.
Please see below for instructions to apply for your NPI number. There are two sets of instructions (one to create your username/password and the other to complete the application for the NPI number), as well as a document showing the taxonomy codes. Note that you need your Medicaid Provider Number (not your DODD Contract number) when sending the email to Medicaid with your NPI once you receive it.
Creating a Username for NPPES
Applying for an NPI Number
Taxonomy Codes
For more information, email [email protected].
Billing and Submitting Claims
Forms and Documentation
Recertification
Reporting MUIs
