ICF-IID Billing Changes

ICF Billing Changes

To make payments to providers faster and more accurate, claims with a date of service of July 1, 2015, or later will require ICF-IID providers to directly submit claims to MITS for payment. This means that you will be able to get:

  • Immediate feedback on the status of a claim
  • Immediate access to adjust or resubmit a claim

Beginning with July 1, 2015, dates of service, the MITS system will no longer automatically generate ICF-IID per diem claims. You will be able to directly bill claims to MITS by doing any one of the following:

  1. Log in to MITS directly using a current Ohio Medicaid seven-digit provider number, and enter data for claims at any time. Please note: Claims must be for a full month of service.
  2. Contract with an authorized Trading Partner (TP) that is able to submit claims on behalf of another provider through an EDI transaction.
    • Find a list of authorized TPs on Ohio Department of Medicaid's (ODM) website; these TPs are listed because they can support transactions on behalf of other providers.
  3. Become an authorized TP.
    • Technical expertise using software that can generate and receive HIPAA-compliant ANSI ASC X12 EDI transactions, and successful completion of TP training and testing are required to demonstrate compatibility and competency. 
    • Depending upon support and technical assistance needs, the process to become an authorized TP can take a few weeks to several months to complete. If you are interested in becoming an authorized TP, complete the ODM Trading Partner Agreement and the Medicaid Trading Partner Form.

Updates

Resources

  • For dates of service prior to July 1, 2015, continue to use the ODM 9400 form to request payment and payment adjustments.
  • To communicate resident information with the county Job and Family Services (JFS) office, use ODM 9401 form until the CRIS-E replacement system is available (sometime in 2016).
  • Contact Josh Anderson if you have questions.
  • ICF-IID Basic Billing Training 2015