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Member Related Information & Documents

  • Affiliation Codes Explanation
  • Affiliation File Extract Layout
  • Board Operations Manual - HIPAA Member Section
  • Cheat Sheets and FAQ's
  • Enrollment Contacts (by Name) (by County)
  • Member Enrollment Form
    • Member Enrollment Form Instructions
  • Guidelines Pertaining to the Implementation of MACSIS 
  • Member/Claims Transfer Request Form (Word) (PDF)
    • Member/Claims Transfer Request Form Instructions 
  • Member & Medicaid Eligibility FAQ
  • Member Error Reports 
  • Member FAQ
  • Enrollment Procedures - MACSIS Support Desk
  • Member Screen (Completing) 
  • Member Training (PDF, large file) (PowerPoint, large file)
  • New and Old Member Extract Layout 
  • Removal of Client Data from MACSIS 
    • Request to Remove Client from MACSIS Form 

Residency

  • Dispute Determination Process Instructions for Executive Directors
  • Guidelines & Operating Principles for Residency
  • Determination among CMH/ADAS/ADAMHS Boards
  • Out-of-County Enrollment Process
  • Residency Verification Form 

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In this section...

  • Member and Medicaid Eligibility
  • Member FAQ
  • Member User's Group by County
  • Member User's Group by Name

On this page...

  • Residency

REGIONAL PSYCHIATRIC HOSPITALS LICENSURE AND CERTIFICATION PROCUREMENT AND DISTRIBUTION
At six state hospital locations, ODMH
delivers comprehensive care to people in
need of intensive inpatient treatment.
ODMH has regulatory authority over providers
of mental health services that operate in
community or private hospital settings.
ODMH provides wholesale pharmaceuticals
and food items in addition to a complete
line of pharmacy services.
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John R. Kasich, Governor | Tracy J. Plouck, ODMH Director | Ohio.gov | Office of Health Transformation