Ohio Managed Care Plans are required by the Medicaid Managed Care Provider Agreement (Appendix K, Claims Payment Systemic Errors) and the MyCare Ohio Provider Agreement (Appendix C, Plan Responsibilities) to communicate to providers when claims adjustments are processed for incorrectly underpaying, overpaying, or denying claims when certain criteria are met. Cases that meet these criteria are defined as Claims Payment Systemic Errors, or CPSEs.
- Starting Feb. 1, 2023, as part of the Next Generation Medicaid Program, Molina will post a linked monthly report below to meet this requirement.
- Prior to Feb. 1. 2023, Molina will continue to post a linked bi-monthly report below to meet this requirement.
All prior monthly reports are archived on this site. If you have any questions after reviewing these reports, please reach out to your Provider Services Representative.
Links below are in PDF Format (
)
2024
December 2024 CPSE Report
November 2024 CPSE Report
October 2024 CPSE Report
September 2024 CPSE Report
August 2024 CPSE Report
July 2024 CPSE Report
June 2024 CPSE Report
May 2024 CPSE Report
April 2024 CPSE Report
March 2024 CPSE Report
February 2024 CPSE Report
January 2024 CPSE Report
2023
December 2023 CPSE Report
November 2023 CPSE Report
October 2023 CPSE Report
September 2023 CPSE Report
August 2023 CPSE Report
July 2023 CPSE Report
June 2023 CPSE Report
May 2023 CPSE Report
April 2023 CPSE Report
March 2023 CPSE Report
February 2023 CPSE Report
January 2023 CPSE Report
2022
November 2022 CPSE Report
September 2022 CPSE Report
July 2022 CPSE Report
May 2022 CPSE Report
March 2022 CPSE Report
January 2022 CPSE Report
2021
November 2021 CPSE Report
September 2021 CPSE Report
July 2021 CPSE Report
May 2021 CPSE Report
March 2021 CPSE Report
January 2021 CPSE Report
2020
December 2020 CPSE Report
November 2020 CPSE Report
October 2020 CPSE Report
September 2020 CPSE Report
August 2020 CPSE Report
July 2020 CPSE Report
June 2020 CPSE Report
May 2020 CPSE Report
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