The Office of Developmental Programs (ODP) has shared ODPANN 25-097 and its accompanying attachments. This communication informs all parties of the importance of supporting individuals in maintaining their eligibility for Medicaid and in verifying an individual’s eligibility for Medicaid prior to delivering services. Read the announcement for details, and view the attachments below:
The Office of Developmental Programs (ODP) has released Bulletin 00-25-02: Individual Eligibility for the Consolidated, P/FDS, Community Living and Adult Autism Waivers and the accompanying attachment.
The purpose of this bulletin is to communicate:
Additional resources to assist with the evaluation and re-evaluation of HCBS eligibility for services and supports are available on MyODP’s website.
This bulletin obsoletes Office of Developmental Programs 00-19-04: Individual Eligibility for the Consolidated, P/FDS and Community Living Waivers.
ACTION NEEDED to Continue Submitting Claims and Eligibility Requests Electronically and Receiving EDI Transaction Responses with PROMISe™
The Pennsylvania (PA) PROMISe™ EDI as a Service (EDIaaS) Communication Plan details what is required by Trading Partners for registration and the X12 batch file naming standard, contains guidelines for Trading Partners on how to create certain segments within an X12 batch file, and provides the response files returned to Trading Partners who submit X12 batch files using EDIaaS to PROMISe™ for processing.
For Questions or Additional Information
Please contact the PROMISe EDI Help desk for any follow-up or inquiries related to this update.
