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 (
)
2026
2025
- December 2025 CPSE Report
- November 2025 CPSE Report
- October 2025 CPSE Report
- September 2025 CPSE Report
- August 2025 CPSE Report
- July 2025 CPSE Report
- June 2025 CPSE Report
- May 2025 CPSE Report
- April 2025 CPSE Report
- March 2025 CPSE Report
- February 2025 CPSE Report
- January 2025 CPSE Report
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