Thanks for the information.  I was told in February by Provider Support that they were going to start processing adjustments in April, but I have not seen any yet.  I have adjustments both in the old system and recent ones - none have been paid out (or reclaimed).

Kristi Cole
Finance Director
SiffrinInc.
Engaging & empowering people with disabilities

T: 330.478.0263
F: 330.478.0140
www.siffrin.org

15 Years of CARF Accreditation

-----Original Message-----
From: list-manager@opra.simplelists.com [mailto:list-manager@opra.simplelists.com] On Behalf Of Kathy Cook
Sent: Wednesday, May 16, 2012 9:23 AM
To: opra_members@opra.simplelists.com
Subject: Re: Waiver billing adjustments

We have had a similar problem.   Our adjustments (since Oct, when
Medicaid started up
their new system) have been processed by the State (meaning we
received reports saying
they were accepted and adjusted), but not paid out.  We have a
significant amount of
funds due us on account of these adjustments.

   We have contacted the State and Medicaid directly.  The State
initially told us that
adjustment claims "couldn't be processed through the new Medicaid
portal at this time".
That was late February.

   After much pain and suffering (going through 6 people over a
collective 2.5 hrs) we
were able to talk to a person in the Medicaid Claims Adjustment
department who told us
that they *were* processing adjustment claims and that neither she nor
her supervisor
were aware of any issues in being able to process claim adjustments.
That was early
March.

   When we passed this info onto our state contact (also early March),
they adjusted their
earlier messaging to say that there was a *significant backlog* for
adjustments being
processed due to the fact that this must now be *manually* entered,
and that they were
"working with Medicaid" to address.

   The last time we asked for an update (early April) our contact from
the State told us
that that they "couldn't tell us anything further" and to "look for
updates on the DODD
portal".

Kathy Cook
CEO
all R friends
Direct 614-357-0340
Fax number 614-918-3445
kathy@allRfriends.com

Visit our website at www.allRfriends.info

Quoting Kristi Cole <KCole@Siffrin.org>:

> Hello,
>
> Has anyone had waiver billings adjustments processed yet?  We have
> not had any processed since last summer when the state switched to
> the new payment system.  There is quite an accumulation.
>
> Kristi Cole
> Finance Director
> SiffrinInc.
> Engaging & empowering people with disabilities
>
> T: 330.478.0263
> F: 330.478.0140
> www.siffrin.org
>
> 15 Years of CARF Accreditation
>
>
>
>
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> <b>To send a message to this listserve, please use the reply button or
> opra_members@opra.simplelists.com.  Thank you.</b>

Welcome to the OPRA Members email group, an on-line forum intended to
facilitate timely communication among the members of the Ohio Provider
Resource Association. As a group member, you will receive updates on
important issues related to developmental disabilities(such as work
around the ICFMR, Waiver, rule changes, etc.); and, you will be asked
to
provide your input regarding such issues. Also, you can ?post? to this
site questions and comments on issues of the day, and other members can
respond.

Please note that EACH POSTING GOES TO THE ENTIRE GROUP, AS DO THE
RESPONSES. The group consists of those OPRA members who have provided
us with an email address. You can view this list by clicking on
the ?members? link at this website. We hope to obtain email addresses
from all OPRA members over time.

ALTHOUGH THIS GROUP IS OPEN ONLY TO OPRA MEMBERS, IT IS IMPORTANT TO
REMEMBER THAT OPRA'S MEMBERSHIP IS LARGE AND DIVERSE; THEREFORE, THE
INFORMATION EXCHANGED THROUGH THIS ON-LINE FORUM WILL BE VIEWED BY
INDIVIDUALS WITH A WIDE RANGE OF INTERESTS AND OPINIONS. PLEASE KEEP
THIS IN MIND WHEN CONTRIBUTING YOUR THOUGHTS TO THE GROUP. (BE
COURTEOUS, PROFESSIONAL, ETC.) THE VIEWS OF INDIVIDUAL MEMBERS DO NOT
NECESSARILY REFLECT THE VIEWS OF THE OPRA BOARD OR THE OPRA STAFF.
<b>To send a message to this listserve, please use the reply button or
opra_members@opra.simplelists.com.  Thank you.</b>

This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain private, confidential, and/or privileged information.  Any unauthorized review, use, disclosure, or distribution is prohibited.  If you are not the intended recipient, employee, or agent responsible for delivering this message, please contact the sender by reply e-mail and destroy all copies of the original e-mail message.

This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain private, confidential, and/or privileged information.  Any unauthorized review, use, disclosure, or distribution is prohibited.  If you are not the intended recipient, employee, or agent responsible for delivering this message, please contact the sender by reply e-mail and destroy all copies of the original e-mail message.