In the Ohio Benefits system, in scenarios
where a waiver service is renewed for a new year, the Begin Date for the
prior year’s coverage span is being updated with the new year’s Begin Date.
This is causing billing errors when a provider attempts to bill for
services utilized during the prior year. The coverage span in Ohio Benefits
and the claims system (MITS) now reflects the Begin Date for the new
coverage year and does not recognize the individual’s coverage for the
The Ohio Benefits system is currently designed to assume that the
original Begin Date for an individual’s waiver would not change when
coverage is renewed and instead, the system expects that the End Date will
be extended by another year.
In order to resolve this business problem, a system enhancement has been
planned for Ohio Benefits that will be implemented in October 2017. With
this enhancement in place, Ohio Benefits will retain the original Begin
Date, and not replace it. Ohio Benefits will replace the end date with the
renewed end date from DODD. MITS will then be updated to reflect the new
end date to allow continued waiver eligibility.
In the meantime, providers should do
the following to address billing errors that may occur: