5101:3-1-20 Responsibilities related to the electronic submission of cartridge tapes (C-Tapes) [except for services provided through a medicaid managed care program].

As of October 16, 2003, the Ohio department of job and family services (ODJFS) will cease to enter into business relationships with an electronic billing agent whose new business is electronic claims submission using cartridge tapes. Cartridge tape billing agents who have established relationships with ODJFS prior to the October 16, 2003 effective date for using electronic data interchange (EDI) may continue to do business with ODJFS until a future date to be determined by ODJFS.

Effective May 23, 2007, ODJFS will no longer accept cartridge tape as a method of provider claim submission, except for sister state agencies and the ODJFS contracted data entry vendor. Cartridge tapes received by ODJFS on or after May 23, 2007 will not be processed for payment. Except for sister state agencies and the ODJFS contracted data entry vendor, all medicaid providers must submit claims by either EDI transactions or on a paper claim form in accordance with Chapter 5101:3-1 of the Administrative Code.

Effective: 05/23/2007

R.C. 119.032 review dates: 03/06/2007 and 05/01/2012

Promulgated Under: 119.03

Statutory Authority: 5111.02

Rule Amplifies: 5111.01, 5111.02

Prior Effective Dates: 8/1/83 (Emer), 10/1/83, 8/1/86, 2/1/88, 7/1/02, 10/16/03 (Emer), 1/1/04, 4/1/05