Provider Manuals, Policies, and Forms

Manuals and guides

AmeriHealth Caritas Ohio offers these reference materials to our providers for use when treating our members.

If you have any questions, call Provider Services at 1-833-644-6001, or contact your Provider Services Account Executive.

Forms

Ohio Department of Medicaid forms

AmeriHealth Caritas Ohio forms

Policies

Name of policy and link Implementation date Post date Status
Acupuncture (PDF) 11/15/2022 2/1/2023 (Posted for Go Live) Active
Add-On Codes (PDF) 1/1/2023 2/1/2023 (Posted for Go Live) Active
Assistant Surgeon (PDF) 12/1/2022 2/1/2023 (Posted for Go Live) Active
Bilateral Procedures (PDF) 12/1/2022 2/1/2023 (Posted for Go Live) Active
Co-Surgeon (PDF) 12/1/2022 2/1/2023 (Posted for Go Live) Active
Diagnosis Code Guidelines (PDF) 2/14/2023 2/1/2023 (Posted for Go Live) Active
Diagnosis/Procedure Code Gender Guidelines (PDF) 2/14/2023 2/1/2023 (Posted for Go Live) Active
Discontinued Procedure (Modifier 53) (PDF) 11/15/2022 2/1/2023 (Posted for Go Live) Active
Distinct Procedural Service (Modifier 59, X{EPSU}) (PDF) 12/1/2022 2/1/2023 (Posted for Go Live) Active
Duplicate Claim (PDF) 11/15/2022 2/1/2023 (Posted for Go Live) Active
Federally Qualified Health Center (PDF) 2/14/2023 2/1/2023 (Posted for Go Live) Active
Global Surgical Package (PDF) 12/13/2022 2/1/2023 (Posted for Go Live) Active
Medicaid Reimbursement Policy Overview (PDF) 12/1/2022 2/1/2023 (Posted for Go Live) Active
Once-Per-Lifetime Procedures (PDF) 11/15/2022 2/1/2023 (Posted for Go Live) Active
Significant-Separately Identifiable Evaluation and Management Service (Modifier 25)(PDF) 12/1/2022 2/1/2023 (Posted for Go Live) Active
Telehealth (PDF) 11/15/2022 2/1/2023 (Posted for Go Live) Active