Important News for Ohio Medicaid Members

Focus on the Individual rather than the business of managed care

Ohio Department of Medicaid

Ohio Medicaid Member News

October 27, 2023


Ohio Medicaid Member News is a short, periodic email update on the progress of the ODM strategic initiatives for individuals who receive services through Ohio Medicaid’s managed care program.


In This Issue:


Ohio Medicaid annual open enrollment is here – select your plan through November 30

Ohio Medicaid’s annual open enrollment is underway. We know that your needs change, that’s why we encourage you to review the managed care plans available and select the one that best fits your healthcare needs during open enrollment. If you have not selected a plan, you still have time! You can select a plan through November 30. You do not have to do anything if you want to keep your current managed care plan. Your plan is effective the first day of the month following your selection.

Taking part in annual open enrollment allows you to focus on you and your family’s well-being. While reviewing plans, keep the following in mind:

  • Which plan works with all or most of your doctors?
  • Which plan works with the hospitals you want to use?
  • Which plan offers the extra services you need, such as additional unemployment assistance, access to nutritious foods, education, wellness programs, vision, or dental services?
  • Will you have to pay co-pays for dental services, routine eye exams, eyeglasses, mental health, substance use disorder (SUD) benefits, or non-emergency services provided in a hospital emergency department?

Helpful resources

To help you select a plan, there are several resources available including:

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The Ohio Medicaid’s managed care organizations health plan comparison provides an overview of the services that all managed care plans offer as well as the specific value-added services available from each individual plan.

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The find a provider search tool can help identify the managed care plans contracting with (“in network”) your trusted providers.

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The Open Enrollment FAQ answers questions related to annual managed care open enrollment.

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The What is open enrollment? micro video provides an overview of what annual open enrollment is and the resources available to members.

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Each managed care plan has a member website that you can visit to learn more about their approach to serving Ohio Medicaid managed care members:

You can explore the managed care plans available and enroll by visiting www.ohiomh.com or by contacting the Ohio Medicaid Consumer Hotline at (800) 324-8680. Representatives are available 7 a.m. to 8 p.m. Eastern time (ET) Monday through Friday and 8 a.m. to 5 p.m. ET Saturday. They can provide interpreters and answer member questions about open enrollment.

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OhioRISE was featured on PBS News Hour - check out the video!

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The COVID-19 pandemic revealed an enormous strain on the nation’s mental healthcare system for our young people and we see that reality playing out in every community throughout Ohio. Across the country, children and youth are struggling with mental health needs at levels never before seen, and parents and caregivers of children with complex mental and behavioral needs face even more challenges getting their kids treatment.

In July 2022, Governor DeWine introduced OhioRISE, a specialized behavioral health program managed by Medicaid for people ages 20 or younger who have complex emotional, developmental, and psychological needs. He envisions a time when every Ohio child has the opportunity to achieve their potential, regardless of obstacles, because of programs like OhioRISE.

To give you a sense for the work underway that is shared across Ohio’s child-serving agencies, we encourage you to watch, “Shortage of mental health services for teens forces parents to take desperate measures,” a PBS News Hour story that ran nationally in September. It features OhioRISE and the work of one of its care management entities (CME).

In late August, the PBS News Hour Team visited OhioRISE CME Positive Education Program (PEP) in northeast Ohio and interviewed PEP CEO Habeebah R. Grimes about OhioRISE. The news team spent the day talking to PEP staff to get a better understanding of the current youth mental health crisis, PEP’s role in addressing these needs in Northeast Ohio, and the significance of OhioRISE and what it means for Ohio’s children. They also spoke with the parents of OhioRISE members to get first-hand accounts of their experiences.

It is a terrific story about our shared work in strengthening Ohio’s behavioral health infrastructure so children and youth, regardless of circumstance, can reach their full potential.

In the program’s first year we have learned much and have much more to do. But, we know OhioRISE is making a positive impact on the lives of many. Today OhioRISE serves more than 25,000 children, youth, and young adults. We have capacity to serve many more and we need your help spreading news about the program.

If you know someone who is at a loss to help a child or young person that is suffering from complex behavioral or mental health disorders, share this 10-minute PBS story about OhioRISE’s unique supports. Then, point them to the OhioRISE website to learn more about the program. 

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Feel free to distribute the information contained within this update to your colleagues, organization's members, or with anyone who you think might find it useful. We want all Ohioans to know what is going on with ODM's strategic initiatives.

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