Ohio Medicaid Managed Care

Member ID Cards

Learn more about the Next Generation of the Ohio Medicaid program and what it means for members including your new member ID cards.

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Providers

Learn more about the Next Generation of the Ohio Medicaid program and what it means for providers, including available training.

Single Pharmacy Benefit Manager (SPBM) and Pharmacy Pricing and Audit Consultant (PPAC)

Learn more about SBPM and PPAC as we improve transparency, accountability, and efficiency within ODM’s pharmacy benefits program.

PNM & Centralized Credentialing

Learn more about the Next Generation of the Ohio Medicaid program and what it means for providers, including available training.

Update Contact Information

Important changes are coming to Ohio Medicaid. Update your contact information to stay informed about your Medicaid plan and coverage.

Update Contact Information

Highlights

Get more information about the Ohio Medicaid Managed Care program and the Managed Care Procurement.

Fiscal Intermediary

Learn more about the Ohio Medicaid Fiscal Intermediary.

Fiscal Intermediary

Launch Training and Resources

Launch training and resources for providers.

Providers

Managed Care Procurement

Learn about the Ohio Medicaid Managed Care Procurement.

Managed Care Procurement

Next Generation of Ohio Medicaid Managed Care

Learn about the future Ohio Medicaid Managed Care program.

Next Generation of Ohio Medicaid Managed Care

PNM & Centralized Credentialing

Learn more about the Next Generation of the Ohio Medicaid program and what it means for providers, including available training.

PNM & Centralized Credentialing

Single Pharmacy Benefit Manager (SPBM) and Pharmacy Pricing and Audit Consultant (PPAC)

Learn more about SBPM and PPAC as we improve transparency, accountability, and efficiency within ODM’s pharmacy benefits program.

Single Pharmacy Benefit Manager

Update Contact Information

Important changes are coming to Ohio Medicaid. Update your contact information to stay informed about your Medicaid plan and coverage.

Managed Care Procurement

View More Resources

News

Ohio Medicaid’s Next Generation program launch updated to February 1

November 17, 2022

Ohio Department of Medicaid (ODM) Director Maureen Corcoran announced a revised schedule for the next stage of implementation of the Next Generation managed care program.

News

Ohio Medicaid launches innovative pharmacy benefit and simplified provider credentialing in its phased Next Generation managed care implementation

September 30, 2022

Rollout introduces a new era of pharmacy transparency with the single PBM, and eases provider administration to better serve members

News

Governor DeWine Announces Launch of OhioRISE, First-Ever Highly Specialized Behavioral Health Program for Kids with Most Complex Needs

July 01, 2022

Ohio Governor Mike DeWine today announced the official launch of Ohio Resilience through Integrated Systems and Excellence (OhioRISE), a new Ohio Medicaid specialized managed care behavioral health program for young people with the most complex needs. Nearly 5,500 children and youth can access services immediately.

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Official websites use Ohio.gov

Secure .gov websites use HTTPS

Trusted applications are secured by OHID

Ohio Medicaid Managed Care

Member ID Cards

Providers

Single Pharmacy Benefit Manager (SPBM) and Pharmacy Pricing and Audit Consultant (PPAC)

PNM & Centralized Credentialing

Update Contact Information

Highlights

Fiscal Intermediary

Launch Training and Resources

Managed Care Procurement

Next Generation of Ohio Medicaid Managed Care

PNM & Centralized Credentialing

Single Pharmacy Benefit Manager (SPBM) and Pharmacy Pricing and Audit Consultant (PPAC)

Update Contact Information

odx-news