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Learn more about the Ohio Medicaid Managed Care Procurement and what it means for providers

In 2019, the Ohio Department of Medicaid (ODM) launched the Medicaid Managed Care procurement process with the goal of creating a reimagined managed care program focused on the individual. This focus supports us in doing better for the people we serve and the providers who are our partners.

We begin by first considering feedback and suggestions from individuals and providers when making decisions about how to evolve the Medicaid managed care program in Ohio. The feedback received through our first Request for Information (RFI #1) informed development of RFI #2, outlining our vision for the next generation of Ohio's Medicaid managed care program. The second RFI sought input from providers, associations, advocacy groups, data and information technology vendors, and managed care organizations. The response period for both RFI #1 and RFI #2 closed on Tuesday, March 3, 2020.

This feedback informed the program design reflected in Ohio Medicaid’s Managed Care Request for Applications (RFA), released on Wednesday, September 30, 2020. This marks the first time Ohio has made changes to the structure of its Medicaid program since CMS’ approval of Ohio’s program in 2005.

The Managed Care Procurement RFA closed on November 20, 2020. As a next step in this process, Ohio Medicaid will evaluate the responses to the RFA, and the applicants will be required to conduct oral presentations. Once oral presentations have concluded, new managed care organizations will be selected in late January 2021. Services under the new contracts are not scheduled to begin until January 2022; any changes to Ohio’s Medicaid MCOs will NOT disrupt member coverage or access to care.

The RFA is for those interested in becoming managed care plans for children and adults within the Ohio Medicaid program. For details about the RFA, visit the Request for Application (RFA) page. For a link to the RFA, please visit the RFPs page on medicaid.ohio.gov.

The Medicaid mailbox will remain open as a way for providers to communicate with ODM about the current Medicaid managed care program. For feedback or observations related to the Managed Care Procurement, you can also contact us through the Managed Care Procurement mailbox or by visiting the Contact Us page.