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MyCare Ohio is a managed care program designed for Ohioans who receive both Medicaid and Medicare benefits. The MyCare Ohio program integrates Medicaid and Medicare benefits into one program, coordinated by a managed care plan. This integrated approach to coordinating care keeps you at the center of our focus.
The MyCare Ohio program has exciting changes coming, including expansion of the program from 29 counties to statewide. The Ohio Department of Medicaid (ODM) has officially begun work on the procurement of the Next Generation MyCare program to improve your healthcare experience. For more than a year, ODM has been receiving feedback from members and providers across the state to understand their current experiences with the MyCare Ohio program and healthcare in general. The feedback received informs efforts to prepare members and providers on the changes coming to the program. Later this year, ODM will form a member advisory workgroup to solicit feedback from stakeholders on Next Generation program design to allow for a smooth transition and least amount of member disruption possible.
To learn more about the program, keep reading and check out the following resources:
Current MyCare Ohio program
To be eligible for the MyCare Ohio program, you must be:
- Eligible for the full benefit of both Medicare and Medicaid services;
- Age 18 and older; and
- Reside in one of the 29 counties where MyCare Ohio is currently available.
Next Generation MyCare program
Beginning January 2026, the Next Generation MyCare plans will begin covering the full Medicare and Medicaid benefits for those who qualify. To be eligible, you must be:
- Eligible for the full benefit of both Medicare and Medicaid services;
- Age 21 and older; and
- Reside in one of the 29 counties where MyCare Ohio is currently available until statewide expansion occurs.
ODM designed its Next Generation MyCare program to:
- Focus on the individual.
- Improve individual and population wellness and health outcomes.
- Create a personalized care experience.
- Support providers in continuously improving care.
- Improve care for individuals with complex needs to promote independence in the community.
- Increase program transparency and accountability.
To learn more about the program, visit the MyCare Ohio webpage on medicaid.ohio.gov. If you have questions or feedback about the Next Generation MyCare, please contact MyCareConversionQuestions@medicaid.ohio.gov.
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Today, the Ohio Department of Medicaid (ODM) released a Request for Applications (RFA) for its Next Generation MyCare program.
You can find the RFA and additional details about ODM’s Next Generation MyCare procurement process on the MyCare Ohio webpage of medicaid.ohio.gov. For a quick summary, you can also watch our most recent video, “Ohio Medicaid Next Generation MyCare request for applications” below and on our Ohio Medicaid YouTube Channel.
 To learn more about the program, visit the MyCare Ohio webpage on medicaid.ohio.gov.
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