Independent Providers and Agency Providers are responsible for their own billing of the services that they provide. This page will help you understand the billing system and give you tools and information to help you feel confident when billing for the crucial services that you provide.
WAYS TO BILL?
There are two primary ways services are funded—either through Medicaid waivers or Supported Living.
Billing for waiver services is submitted directly to the Ohio Department of Developmental Disabilities. All services must be authorized through the PAWS (Payment Authorization for Waiver Services) and fall within the limits of the PAWS.
As an independent contractor, each waiver provider will receive a Form 1099 from the state of Ohio each January for use in reporting self-employment income.
For assistance with billing for Supported Living services, please contact your local county board of developmental disabilities.
BILLING RESOURCES FOR MEDICAID-FUNDED WAIVER SERVICES
(Click the icons to learn more.)
Billing and Service Documentation Training
Submitting Claims through eMBS
When will I get paid?
Claims Assistance
DON’T WANT TO DO YOUR OWN BILLING?
Rather than submitting their own claims, providers may choose to hire a billing agent, a third party who submits billing and tracks the claims. There is a fee associated with this service.