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Questions or inquiries regarding the Ohio Medicaid Retrospective Review Program can be sent to Project Manager, Maureen Riley RN, BSN or Peggy Fouty, Coding Specialist. Send an Email
For questions about provider claims, please call ODJFS at 1-800-686-1516.
In addition, we publish the Ohio Medicaid Quality Monitor, a quarterly newsletter, to help communicate review trends and project information to the doctors, hospitals, and health plans that serve Ohio Medicaid clients.
Download or view the
Ohio Medicaid Quality Monitors
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Studies in Progress
All current studies in process assist ODJFS in evaluating the use and costs of medical procedures and therapies; assess the appropriateness of various care settings; assist in the design or evaluation of the efficacy of interventions to change patient or provider behavior; and contribute to the development of systems for coordinating care across settings. Current studies focus on:
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Outpatient Use of "Unlisted" Codes Study
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ICF/MR Facility and Waiver Functional Assessment Study [ICF/MR (Public and Private) Functional Assessment, Developmental Centers Functional Assessment, Individual Options Waiver Functional Assessment, Level One Waiver Functional Assessment, Transitions MRDD Waiver Functional Assessment]
Click here for information on recently completed studies.
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