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Next Generation of Ohio Medicaid's Managed Care Program

In 2019, the Ohio Department of Medicaid (ODM) launched the Medicaid managed care procurement process to reevaluate the current contracts ODM has in place with managed care organizations. The goal of this effort is to re-frame the program into one that does better for the people we serve.

ODM launched its Next Generation managed care plans on February 1, 2023, with a focus on the individual while honoring members' choice and providing continuity in the provision of members’ care. To learn more, visit https://www.ohiomh.com/.  

These changes do not include MyCare. Additionally, OhioRISE enrollees will continue to receive their behavioral health benefits through Aetna Better Health of Ohio, (the OhioRISE plan), and their physical health services through a separate managed care organization or fee-for-service Medicaid.  

To make a Next Generation plan selection or learn more, visit https://www.ohiomh.com/ or contact the Ohio Medicaid Consumer Hotline at 800-324-8680. 

Next Generation February 1 Launch Member Webinar 

On January 17, 2023, Ohio Department of Medicaid conducted a webinar for members to learn about exciting changes coming to their healthcare benefits on February 1. This webinar included information about new benefits and services Ohio Medicaid members can expect, including an overview of the transition to the Next Generation managed care plans, key changes and improvements for members, and resources available to assist members in the transition. 

If you were unable to attend, below you can find the presentation and recording. 

For questions, please contact ODMNextGen@medicaid.ohio.gov.  

Don’t miss out on important information from Ohio Medicaid!

Update your contact information by calling the Ohio Medicaid Consumer Hotline at 800-324-8680 or by accessing the Ohio Benefits Self-Service Portal at ssp.benefits.ohio.gov.