Provider Relations
SENIOR DINING PROGRAM
We are looking for restaurants interested in joining our Senior Dining Program. Please CLICK HERE for more information. Thank you!
PASSPORT/Assisted Living Waver Program
Thank you for your interest in the PASSPORT/Assisted Living Waiver program. If you are interested in becoming a provider for Area Agency on Aging 3 (covering Allen, Auglaize, Hancock, Hardin, Mercer, Putnam, and Van Wert counties) please fill out a Medicaid application on the Ohio Department of Job and Family Services MITS portal at https://portal.ohmits.com/Public/Providers/Enrollment/tabId/44/Default.aspx to start the process.
To learn more about the MITS application process, please review the tutorial at http://jfs.ohio.gov/mits/DRAFT_03B_Enrollment.pdf
And for MITS troubleshooting information: http://jfs.ohio.gov/mits/MITS_Registration_Troubleshooting_Guide.pdf
For additional assistance with the MITS web portal, please contact the Ohio Department of Job and Family Services Provider Call Center at 1-800-686-1515.
Organizations that are PASSPORT certified in another part of the state and would like to expand to serve AAA3 or if you are interested in applying to provide Title III services please contact Teresa Heitbrink-Ireland for the proper applications forms.
All completed application forms should be returned to:
Area Agency on Aging 3
Attention: Teresa Heitbrink-Ireland
200 E. High, 2nd Floor
Lima, OH 45801
If you have questions about the application or certification process, please call (419) 222-7723 and ask to speak with Teresa Heitbrink-Ireland, Provider Relations Coordinator, or e-mail your questions to thireland@psa3.org. This e-mail address is being protected from spambots. You need JavaScript enabled to view it.
Provider Rules for PASSPORT and Assisted Living
173-39-01 Introduction and definitions.
Effective: March 17, 2011
173-39-02 Conditions of participation.
Effective: March 17, 2011
173-39-02.1 Adult day service.
Effective: March 20, 2011
173-39-02.2 Alternative meals service.
Effective: March 31, 2006
173-39-02.3 Pest control service.
Effective: March 17, 2011
173-39-02.4 Home care attendant service.
Effective: March 31, 2006
173-39-02.5 Chore service.
Effective: March 17, 2011
173-39-02.6 Emergency response service.
Effective: Jan. 1, 2011
173-39-02.7 Home medical equipment and supplies.
Effective: March 31, 2006
173-39-02.8 Homemaker service.
Effective: March 31, 2006
173-39-02.9 Minor home modification, maintenance, and repair services.
Effective: March 31, 2006
173-39-02.10 Nutritional consultation service.
Effective: Aug. 30, 2010
173-39-02.11 Personal care service.
Effective: March 17, 2011
173-39-02.12 Social work counseling service.
Effective: Sept. 2, 2010
173-39-02.13 Non-emergency medical transportation service.
Effective: Sept. 29, 2011
Related forms...
173-39-02.14 Home-delivered meal service.
Effective: Jan. 1, 2011
173-39-02.15 Independent living assistance service.
Effective: March 31, 2006
173-39-02.16 Assisted living service.
Effective: Oct. 8, 2009
173-39-02.17 Community transition service.
Effective: July 3, 2008
173-39-02.18 Non-medical transportation service.
Effective: Sept. 29, 2011
Related forms...
173-39-02.19 Kosher option.
Effective: Oct. 16, 2009
173-39-02.20 Enhanced community living service.
Effective: March 17, 2011
173-39-02.21 Personal care service scheduling.
Effective: June 30, 2011
173-39-03 Provider certification.
Effective: March 17, 2011
173-39-04 Provider structural compliance review.
Effective: March 17, 2011
173-39-05 Disciplinary Action.
Effective: Sept. 29, 2011
173-39-06 Notice of denial of certification and proposed sanctions.
Effective: Sept. 29, 2011
173-39-07 Appeal of denial of certification and proposed sanctions.
Effective: March 31, 2006
173-39-08 Appeal hearings and adjudication orders.
Effective: Sept. 29, 2011
173-39-05.1 Non Disciplinary action resulting in certification revocation http://www.aging.ohio.gov/resources/publications/173-39-05_1.pdf
Effective Sept. 29, 2011
Criminal Records Check Rule
http://www.aging.ohio.gov/resources/publications/173-9-01.pdf
Effective date 08/11/11
Provider Rules for Title III Programs
173-3-06.1 Adult day service.
Effective: April 24, 2011
173-3-06.4 Homemaker service.
Effective: Feb. 15, 2009
173-3-06.5 Personal care service.
Effective: Sept. 29, 2011
173-3-06.6 Transportation service.
Effective: March 12, 2011
Related forms...
The Ohio Department of Aging (ODA) has developed a new ONLINE electronic billing process. The Direct Data Entry System (DDE) enables providers to electronically transmit bills and receive correspondence via the Internet. In order to utilize this new data transmission process, your organization will need a computer system with Internet access (preferably high speed).
This system provides the following ONLINE benefits:
1) Ability to track bills
2) Remittance Advice accessibility
3) Will not need to submit hard copy paperwork (i.e. coversheet; invoice entry printout)
4) Simpler billing process
A manual and computer based training (CBT) videos have been developed and made available on this website. Once you have read the manual and/or viewed the videos, email Claims@psa3.org This e-mail address is being protected from spambots. You need JavaScript enabled to view it to request your User Name, password, and access to the area.
Direct Data Entry (DDE) Billing Information
Disclaimer: This software is to be used for Billing Purposes ONLY by contracted PASSPORT, Assisted Living, and Title III Providers. Other use can lead to legal ramifications.
Download: DDE User Manual (Adobe PDF)
DDE Training Videos
(Windows Media Video)
EDI Billing Information
If you are using EDI, you need to complete the EDI Trading Partner Agreement. To do this, go to http://www.goldenbuckeye.com/, select “Providers and Professionals”, “PASSPORT”, “HIPAA Billing Formats”, then “EDI”. Complete the EDI Trading Partner Agreement. Once complete, contact the EDI Coordinator to schedule your implementation (also online at www.goldenbuckeye.com).
