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On Wednesday, August 7, the Next Generation MyCare Request for Applications (RFA) response period closed. MyCare Ohio is a managed care program designed to coordinate care for Ohioans who receive both Medicaid and Medicare benefits. The Next Generation MyCare program aims to improve your healthcare experience. Through the program, MyCare Ohio members will receive all their medical, behavioral, and long-term services and supports.
As the next steps in this process, Ohio Department of Medicaid will review the responses to the RFA and plans to award new MyCare contracts in the fall. Check out our newest micro video “Next Generation MyCare Request for Applications next steps” to learn more.
Like any procurement of this size, this procurement has significant guardrails regarding communications about the procurement and the program.
ODM must adhere to federal and state procurement requirements and appropriate safeguards to ensure a fair process and reduce the risk of post-award challenges. As a result, ODM cannot:
- Share details related to RFA content, release certain dates, timelines, responses received, and/or award prior to official public announcements.
- Communicate design discussions and decisions related to the MyCare structure beyond what is stated in the RFA.
At this point in time, ODM is in the “quiet period” for the Next Generation MyCare procurement, which dramatically limits the information available to share on an individual basis. All information ODM releases regarding the Next Generation MyCare procurement must be at equal opportunity of access for potential bidders, preventing any compromise of the procurement.
It is ODM’s commitment to remain as communicative and transparent as possible through the remainder of the procurement process, while still maintaining the integrity of the Next Generation MyCare procurement. ODM will not be able to answer questions from members of the public or potential bidders regarding the Next Generation MyCare program, but general updates and announcements will be posted on the MyCare Ohio webpage on Medicaid.ohio.gov.
Resources on procurement regulations can be found in the State of Ohio Procurement Manual.
For additional information about the RFA or procurement process, visit the MyCare Ohio webpage on Medicaid.ohio.gov.
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The Ohio Department of Medicaid (ODM), in partnership with Maximus, the Provider Network Management (PNM) module vendor, is excited to share that we are continuing our provider awareness and training efforts. Training is scheduled for August 7 - 21. Below, you will find instructions on how to register and a list of topics covered in each session.
Registration steps for enrolling through the learning management system
Access the Absorb, Maximus's learning management system to register for the training. If you do not have an Absorb account, you must create one to access all training sessions, answer forms, and view various PNM module resources. For help, please see our job aid and follow the steps to create your account and/or register for training.
- Provider Administrator User (PNM Dashboard/Homepage)
- Provider Administrator Role (Application)
- Provider Agent Role
- Individual Practitioner Updates & Revalidations
- Group/Organization Updates & Revalidations
- Managing and Updating Affiliations
- Behavioral Health Provider Updates & Specialty Changes
- Behavioral Health Provider Type Changes
- Fee-for-Service Claim Search & Submission
- Fee-for-Service Prior Authorization Search & Submission
Note: Additional session details are available within the Absorb course listing.
To learn more about the PNM module and Centralized Credentialing, visit the PNM and Centralized Credentialing page on the Next Generation website. If you are experiencing technical issues accessing the PNM module or have specific questions, please contact the ODM Integrated Helpdesk at 800-686-1516 or IHD@medicaid.ohio.gov. The ODM Integrated Helpdesk is open 8:00 a.m.-4:30 p.m. Monday-Friday, Eastern time.
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