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, which you can begin using on October 1.

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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.

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

Provider Webinars and Training

Information for providers on PNM webinars and training.

Providers

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

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.

News

OhioRISE launches 20 regional providers to serve children with intense behavioral health needs

February 17, 2022

Ohio Department of Medicaid (ODM) Director Maureen Corcoran named today the 20 community-oriented Care Management Entities (CMEs) selected to build local systems of care for OhioRISE (Resilience through Integrated Systems and Excellence), Ohio’s first highly integrated care program for youth with complex behavioral health and multi-system needs.

News

Ohio Medicaid Announces Go-Live Date for Next Generation Managed Care

August 25, 2021

The Ohio Department of Medicaid (ODM) today projected a go-live date for the Next Generation managed care launch for July 1, 2022.

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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

PNM & Centralized Credentialing

Provider Webinars and Training

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

Update Contact Information

odx-news