{"reporting_entity_name":"Molina-Healthcare-of-Ohio","reporting_entity_type":"health insurance issuer","last_updated_on":"2026-07-20","version":"2.0.0","provider_references":[{"provider_group_id":213444,"network_name":["OH Network"],"provider_groups":[{"npi":[1194830950],"tin":{"type":"ein","value":"311799562","business_name":"COLUMBUS AREA RENAL ALLIANCE - 2402528"}}]}],"in_network":[{"negotiation_arrangement":"ffs","name":"CAPD (Dialysis) Outpatient or Home - Support Services","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0845","description":"Continuous Ambulatory Peritoneal Dialysis(CAPD) - OutPt/Home","negotiated_rates":[{"provider_references":[213444],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPD Outpatient or Home - General","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0840","description":"Continuous Ambulatory Peritoneal Dialysis - OutPt/Home","negotiated_rates":[{"provider_references":[213444],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPD Outpatient or Home - Home Equipment","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0843","description":"Continuous Ambulatory Peritoneal Dialysis(CAPD) - OutPt/Home","negotiated_rates":[{"provider_references":[213444],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPD Outpatient or Home - Home Supplies","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0842","description":"Continuous Ambulatory Peritoneal Dialysis(CAPD) - OutPt/Home","negotiated_rates":[{"provider_references":[213444],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPD Outpatient or Home - Maintenance/100%","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0844","description":"Continuous Ambulatory Peritoneal Dialysis(CAPD) - OutPt/Home","negotiated_rates":[{"provider_references":[213444],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPD Outpatient or Home- Other Outpatient CAPD","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0849","description":"Continuous Ambulatory Peritoneal Dialysis(CAPD) - OutPt/Home","negotiated_rates":[{"provider_references":[213444],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"CCPD Outpatient or Home - General","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0850","description":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpt or Hom","negotiated_rates":[{"provider_references":[213444],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"CCPD Outpatient or Home - Home Equipment","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0853","description":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpt or Hom","negotiated_rates":[{"provider_references":[213444],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"CCPD Outpatient or Home - Home Supplies","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0852","description":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpt or Hom","negotiated_rates":[{"provider_references":[213444],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"CCPD Outpatient or Home - Maintenance/100%","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0854","description":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpt or Hom","negotiated_rates":[{"provider_references":[213444],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"CCPD Outpatient or Home - Other Outpatient CCPD","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0859","description":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpt or Hom","negotiated_rates":[{"provider_references":[213444],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"CCPD Outpatient or Home - Support Services","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0855","description":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpt or Hom","negotiated_rates":[{"provider_references":[213444],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUOUS AMBULATORY PERITONEAL DIALYSIS (CAPD)-OUTPATIENT","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0846","description":"CAPD (Dialysis) Outpatient or Home","negotiated_rates":[{"provider_references":[213444],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUOUS AMBULATORY PERITONEAL DIALYSIS (CAPD)-OUTPATIENT","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0847","description":"CAPD (Dialysis) Outpatient or Home","negotiated_rates":[{"provider_references":[213444],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUOUS AMBULATORY PERITONEAL DIALYSIS (CAPD)-OUTPATIENT","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0848","description":"CAPD (Dialysis) Outpatient or Home","negotiated_rates":[{"provider_references":[213444],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUOUS CYCLING PERITONEAL DIALYSIS (CCPD)-OUTPATIENT OR","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0856","description":"CCPD (Dialysis) Outpatient or Home","negotiated_rates":[{"provider_references":[213444],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUOUS CYCLING PERITONEAL DIALYSIS (CCPD)-OUTPATIENT OR","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0857","description":"CCPD (Dialysis) Outpatient or Home","negotiated_rates":[{"provider_references":[213444],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUOUS CYCLING PERITONEAL DIALYSIS (CCPD)-OUTPATIENT OR","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0858","description":"CCPD (Dialysis) Outpatient or Home","negotiated_rates":[{"provider_references":[213444],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS-OUTPATIENT OR HOME","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0827","description":"Hemodialysis - Outpatient or Home","negotiated_rates":[{"provider_references":[213444],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS-OUTPATIENT OR HOME","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0828","description":"Hemodialysis - Outpatient or Home","negotiated_rates":[{"provider_references":[213444],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Hemodialysis - Outpatient or Home - General","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0820","description":"Hemodialysis - Outpatient or Home","negotiated_rates":[{"provider_references":[213444],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Hemodialysis - Outpatient or Home - Home Equipment","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0823","description":"Hemodialysis - Outpatient or Home","negotiated_rates":[{"provider_references":[213444],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Hemodialysis - Outpatient or Home - Home Supplies","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0822","description":"Hemodialysis - Outpatient or Home","negotiated_rates":[{"provider_references":[213444],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Hemodialysis - Outpatient or Home - Maintenance/100%","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0824","description":"Hemodialysis - Outpatient or Home","negotiated_rates":[{"provider_references":[213444],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Hemodialysis - Outpatient or Home - Other Outpatient Hemodia","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0829","description":"Hemodialysis - Outpatient or Home","negotiated_rates":[{"provider_references":[213444],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Hemodialysis - Outpatient or Home - Support Services","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0825","description":"Hemodialysis - Outpatient or Home","negotiated_rates":[{"provider_references":[213444],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Hemodialysis - Outpatient or Home-Hemodialysis-Shorter Durat","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0826","description":"Hemodialysis - Outpatient or Home","negotiated_rates":[{"provider_references":[213444],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"INPATIENT RENAL DIALYSIS","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0805","description":"Inpatient Renal Dialysis","negotiated_rates":[{"provider_references":[213444],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"INPATIENT RENAL DIALYSIS","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0806","description":"Inpatient Renal Dialysis","negotiated_rates":[{"provider_references":[213444],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Inpatient Renal Dialysis - Cont Amb Peritoneal Dialys (CAPD)","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0803","description":"Inpatient Renal Dialysis","negotiated_rates":[{"provider_references":[213444],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Inpatient Renal Dialysis - Cont Cycling Peritoneal (CCPD)","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0804","description":"Inpatient Renal Dialysis","negotiated_rates":[{"provider_references":[213444],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Inpatient Renal Dialysis - General","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0800","description":"Inpatient Renal Dialysis","negotiated_rates":[{"provider_references":[213444],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Inpatient Renal Dialysis - Inpatient Hemodialysis","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0801","description":"Inpatient Renal Dialysis","negotiated_rates":[{"provider_references":[213444],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Inpatient Renal Dialysis - Inpatient Peritoneal (Non-CAPD)","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0802","description":"Inpatient Renal Dialysis","negotiated_rates":[{"provider_references":[213444],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Miscellaneous Dialysis - Ultrafiltration","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0881","description":"Miscellaneous Dialysis","negotiated_rates":[{"provider_references":[213444],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"per diem","negotiated_rate":439.68,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"PERITONEAL DIALYSIS-OUTPATIENT OR HOME","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0836","description":"Peritoneal Dialysis - Outpatient or Home","negotiated_rates":[{"provider_references":[213444],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"PERITONEAL DIALYSIS-OUTPATIENT OR HOME","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0837","description":"Peritoneal Dialysis - Outpatient or Home","negotiated_rates":[{"provider_references":[213444],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"PERITONEAL DIALYSIS-OUTPATIENT OR HOME","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0838","description":"Peritoneal Dialysis - Outpatient or Home","negotiated_rates":[{"provider_references":[213444],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Peritoneal Dialysis - Outpatient or Home - General","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0830","description":"Peritoneal Dialysis - Outpatient or Home","negotiated_rates":[{"provider_references":[213444],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Peritoneal Dialysis - Outpatient or Home - Home Equipment","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0833","description":"Peritoneal Dialysis - Outpatient or Home","negotiated_rates":[{"provider_references":[213444],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Peritoneal Dialysis - Outpatient or Home - Home Supplies","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0832","description":"Peritoneal Dialysis - Outpatient or Home","negotiated_rates":[{"provider_references":[213444],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Peritoneal Dialysis - Outpatient or Home - Maintenance/100%","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0834","description":"Peritoneal Dialysis - Outpatient or Home","negotiated_rates":[{"provider_references":[213444],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Peritoneal Dialysis - Outpatient or Home - Other Ouptpatient","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0839","description":"Peritoneal Dialysis - Outpatient or Home","negotiated_rates":[{"provider_references":[213444],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Peritoneal Dialysis - Outpatient or Home - Support Services","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0835","description":"Peritoneal Dialysis - Outpatient or Home","negotiated_rates":[{"provider_references":[213444],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]}]}