DialClerk Directory

Ohio Medicaid (ODM)

Records, fax and other contacts

Find other published document channels. Confirm the department and purpose before sending any records.

email other

Ohio Medicaid SPBM (Gainwell) claims reimbursement inquiries email

Official page read
Phone

No phone listed for this route

Published email

OH_MCD_CLAIMS@gainwelltechnologies.com

Published hours

Mon-Fri 8am-5pm ET

Product, plan and location

medicaid
Ohio

Mailing address

Not researched for this route

Gainwell OH SPBM (2023 ODM-hosted pharmacy reference guide v2.0). Pharmacy claim reimbursement inquiries.

View source ↗ · Source checked 2026-10-25

Report an update

email other

Ohio Medicaid SPBM (Gainwell) network department and 835 remittance inquiries email

Official page read
Phone

No phone listed for this route

Published email

OH_MCD_PBM_network@gainwelltechnologies.com

Published hours

Not published in this record

Product, plan and location

medicaid
Ohio

Mailing address

Not researched for this route

Pharmacy network questions, SPBM training access and 835/remittance advice inquiries (Mon-Fri 8am-5pm ET per the Gainwell guide).

View source ↗ · Source checked 2026-10-25

Report an update

fax other

Ohio Medicaid SPBM (Gainwell) fraud, waste and abuse hotline

Official page read
Phone833-220-9970Published hours

24/7

Product, plan and location

medicaid
Ohio

Mailing address

Not researched for this route

Gainwell OH SPBM (2023 ODM-hosted pharmacy reference guide v2.0). Report pharmacy/prescriber/member FWA. Gainwell compliance email is listed in the guide as OH_MCD_Compliance@gainwelltechnologies.com.

View source ↗ · Source checked 2026-10-25

Report an update
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

email other

Ohio Medicaid SPBM program questions (ODM)

Official page read
Phone

No phone listed for this route

Published email

MedicaidSPBM@medicaid.ohio.gov

Published hours

Not published in this record

Product, plan and location

medicaid
Ohio

Mailing address

Not researched for this route

ODM mailbox for SPBM and Pharmacy Pricing and Audit Consultant (PPAC) questions; OAAC rate appeals after a Myers and Stauffer review denial.

View source ↗ · Source checked 2026-10-25

Report an update

fax other

Ohio Medicaid cost avoidance unit (third-party liability updates)

Official page read
Phone

No phone listed for this route

Fax

614-728-0757

Published email

tpl@medicaid.ohio.gov

Published hours

Not published in this record

Product, plan and location

medicaid
Ohio

Mailing address

Not researched for this route

Report that a member no longer has (or has) other coverage on the ODM eligibility file; form ODM06614.

View source ↗ · Source checked 2026-10-25

Report an update

email other

Ohio Medicaid Integrated Help Desk email (PNM and centralized credentialing support)

Official page read
Phone

No phone listed for this route

Published email

IHD@medicaid.ohio.gov

Published hours

Not published in this record

Product, plan and location

medicaid
Ohio

Mailing address

Not researched for this route

Menu guidance in the source record

Phone 800-686-1516: option 2 then option 3 for a live agent to assign Medicaid IDs to PNM administrator accounts

Menus can change. No live call verification is claimed.

PNM technical issues and ODM10304 PNM System Administrator Change Requests (subject "Administrator Change Request"). Centralized credentialing for all Ohio Medicaid MCOs runs through PNM.

View source ↗ · Source checked 2026-10-25

Report an update

fax other

Ohio Medicaid provider fraud reporting

Official page read
Phone614-466-0722Published hours

Not published in this record

Product, plan and location

medicaid
Ohio

Mailing address

Not researched for this route

Report fraud by a medical provider; anonymous reports also through the Ohio Attorney General form.

View source ↗ · Source checked 2026-10-25

Report an update
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

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