Coverage profile
Work Medicaid Ohio across every published route
Use the current payer record to choose the right claim-status, eligibility, portal, phone, or appeals workflow. Substrate only marks routes that are published for this payer.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Medicaid Ohio.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Medicaid Ohio.
Other aliases
Also known as
- 10158
- 14386
- 2481
- 3509I
- CKOH1
- MMISODJFS
- OHCAID
- OHMCD
- SKOH0
- OH Medicaid
- Ohio Department of Medicaid
- Ohio Medicaid
- OH_MCAID
2027 maternity billing research
When does Medicaid Ohio change OB/GYN billing?
Beginning January 1, 2027, Ohio Medicaid fee-for-service discontinues current Maternity Care Services global and bundled codes, and CPT services are separately reportable. For a first prenatal visit after confirmation of pregnancy on or after September 1, 2026, ODM requires E/M codes and ICD-10-CM codes, including weeks of gestation printed as Z23A.
- Transition start
- 2026-09-01 — first prenatal visit after confirmation
- Billing start
- 2027-01-01 — global and bundled codes discontinued
- Published
- Not stated in the stored quotes
- Current As Of
- October 2026
Scope: Ohio Department of Medicaid fee-for-service. Not the managed-care catalog entries.
Update on Medicaid Fee for Service Maternity Care Code Changes. Verify the payer source before claim submission.
Frequently asked questions
Medicaid Ohio payer FAQs
How do I check claim status with Medicaid Ohio?
Providers check Medicaid Ohio via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
What is the payer ID for Medicaid Ohio?
The primary payer ID for Medicaid Ohio is MMISODJFS. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What are the 837 payer IDs for Medicaid Ohio?
The 837P and 837I payer ID for Medicaid Ohio is MMISODJFS via Stedi.
What is the 835 payer ID for Medicaid Ohio?
The 835 payer ID for Medicaid Ohio is MMISODJFS via Stedi.
What is the 270 payer ID for Medicaid Ohio?
The 270 payer IDs for Medicaid Ohio are MMISODJFS via Stedi and MMISODJFS via Availity.
What is the 276 payer ID for Medicaid Ohio?
The 276 payer IDs for Medicaid Ohio are MMISODJFS via Stedi and MMISODJFS via Availity.
What state does Medicaid Ohio operate in?
Medicaid Ohio operates in OH.
Routing reference
Medicaid Ohio payer IDs and operating states
Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.
| Payer name | Medicaid OhioSource: Substrate payer directory · data last changed |
|---|---|
| Operating states | OHSource: Substrate payer directory · data last changed |
| 837P professional claims payer IDStedi | MMISODJFSSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | MMISODJFSSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | MMISODJFSEnrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | MMISODJFSSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | MMISODJFSSource: Availity payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDStedi | MMISODJFSSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDAvaility | MMISODJFSSource: Availity payer catalog · catalog dated · matched by payer ID |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Data last changed ; checked .Open payer website ↗
- Stedi payer catalogMatched by payer ID; matched record: Medicaid Ohio. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
- Availity payer catalogMatched by payer ID; matched record: MEDICAID OHIO. Source dated .The attached API workbook supplies 270 and 276 payer IDs only. It does not supply 837P, 837I, or 835 IDs.Open current Availity reference ↗
- United Clearinghouse payer catalogMatched by payer name; matched record: Medicaid Ohio. The source did not provide a publication date.The attachment supplies payer names and states only; it does not contain transaction-specific payer IDs.Open current United Clearinghouse reference ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.