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Waystar Payer Notice – Ohio Department of Medicaid – Processing Blackout / New Payer IDs – Action Required

Waystar has made us aware that the Ohio Department of Medicaid (ODM) will be moving to a new processing system starting on Wednesday, February 1, 2023.  As a part of this transition, the following processing blackouts will be in effect: 

  • As of today, Wednesday, January 25, at 2:00 PM Eastern Time (ET), ODM will not be processing claims to payer Medicaid Ohio (SKOH0) until after the February 1, 2023, transition has been completed. 
  • Any claims submitted to Waystar payer Medicaid Ohio (SKOH0) after today, January 25, at 2:00 PM ET will be held until the February 1, 2023 transition has been completed. 
  • Real time eligibility (270/271) traffic to payer Medicaid Ohio (SKOH0) will stop on Monday, January 30, 2023, at 5:00 PM ET. This traffic will also resume on February 1, 2023.

New Payer IDs Live Beginning February 1, 2023: 

  • Medicaid Ohio — Amerihealth Caritas Ohio (35374)
  • Medicaid Ohio — Amerihealth Caritas Ohio — Transportation Only (42435)
  • Medicaid Ohio — Anthem EyeMed Vision (SKOH10)
  • Medicaid Ohio — Anthem Ohio Medicaid (SKOH5)
  • Medicaid Ohio — Buckeye Envolve Vision (SKOH7)
  • Medicaid Ohio — Buckeye Ohio Medicaid (SKOH3)
  • Medicaid Ohio — Caresource Ohio – Vision (SKOH6)
  • Medicaid Ohio — Caresource Ohio Medicaid (SKOH2)
  • Medicaid Ohio — Humana EyeMed (SKOH9)
  • Medicaid Ohio — Humana Ohio Medicaid (61103)
  • Medicaid Ohio — Molina March Vision (SKOH8)
  • Medicaid Ohio — Molina Ohio Medicaid (SKOH4)
  • Medicaid Ohio — United Healthcare OH Medicaid (88337)
  • Medicaid Ohio — United Healthcare OH Medicaid — Vision (83572)

Action Taken by by Waystar:
EDIinsight by Waystar continues to stay in close contact with the payer for the upcoming ODM changes. Waystar will have these new payer IDs available on February 1, 2023 as instructed by ODM.  

Waystar Action Required by Client:
Take notice of the upcoming blackout periods while ODM prepares to make this transition. Make any updates to your Practice Management system needed for the new payers. Please take note that new payer IDs will not be available prior to February 1, 2023.  

If you have any questions regarding this notice, please contact our Support Team.



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