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PROVIDER MANUAL - Ohio Health Choice

PROVIDER MANUAL . FOREWORD. This Participating PROVIDER MANUAL has been prepared to assist Ohio Health Choice (OHC) participating providers and their staff in understanding the Ohio Health Choice Medical Management Program and Preferred PROVIDER Organization (PPO) protocols. The goal of Ohio Health Choice is to keep participating providers as informed as possible so that as the Medical Management Program (formally known as the Utilization Management/Quality Management Program or UM/QM) is implemented, changes in existing office routines will be minimized. This MANUAL is also designed to be an operational guide to assist providers in participating in the Medical Management Program.

2 FOREWORD This Participating Provider Manual has been prepared to assist Ohio Health Choice (OHC) participating providers and their staff in understanding the Ohio Health Choice Medical Management Program and Preferred Provider Organization (PPO) protocols.

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