Ohio Medicaid Member News

May 1, 2025

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.

The Ohio Department of Medicaid’s Next Generation MyCare Program Will Roll Out in a Phased Approach

ODM is implementing its Next Generation MyCare program beginning in January 2026. The program will better serve Ohioans who are dually eligible for both Medicare and Medicaid healthcare coverage. To allow for a smooth transition, we will roll out the Next Generation MyCare program in two phases, beginning with each of the 29 counties where MyCare Ohio is currently available. Statewide expansion of the MyCare program will follow as quickly as possible. This phased timeline allows us to work with your providers and advocates to disrupt you as little as possible.
Since MyCare services are often coordinated by Ohio's Area Agencies on Aging (AAAs), the phased timeline is organized around the AAA regions and the counties they serve. See below for the full rollout approach.

Phase 1: Current MyCare Counties (January 1, 2026)  

On January 1, 2026, ODM will roll out the Next Generation MyCare program in each of the 29 counties where MyCare is currently available today. These counties have been a part of the MyCare Ohio program since 2015.

January 1, 2026:  

• AAA Region 1: Butler, Warren, Clinton, Hamilton, Clermont 
• AAA Region 2: Montgomery, Clark, Greene 
• AAA Region 6: Franklin, Delaware, Union, Madison, Pickaway 
• AAA Region 4: Lucas, Fulton, Ottawa, Wood 
• AAA Region 10a: Lorain, Cuyahoga, Medina, Lake, Geauga  
• AAA Region 10b: Summit, Portage, Stark, Wayne 
• AAA Region 11: Columbiana, Mahoning, Trumbull 

Phase 2: Remaining MyCare Counties (April 1, 2026 – Onward)  

During Phase two, starting on April 1, 2026, and continuing through the year, ODM will roll out the Next Generation MyCare program in the remaining counties. On April 1, the below counties will be integrated into the Next Generation MyCare program. This approach allows all currently participating AAA regions that have experience in the MyCare Ohio program to bring the counties without MyCare today into the program, except for AAA region 2.

April 1, 2026:  

• AAA Region 4: Sandusky, Erie, Henry, Williams, Defiance, Paulding 
• AAA Region 6: Fayette, Fairfield, Licking 
• AAA Region 11: Ashtabula 

The remaining counties without MyCare will join the Next Generation MyCare program beginning May 1, 2026, to allow us necessary time to prepare your providers and advocates to deliver you a personalized care experience.   

May 1, 2026:  

• AAA Region 2: Preble, Darke, Miami, Shelby, Champaign, Logan 
• AAA Region 3: Van Wert, Putnam, Hancock, Allen, Mercer, Auglaize, Hardin 
• AAA Region 5: Seneca, Huron, Wyandot, Crawford, Richland, Ashland, Marion, Morrow, Knox 

June 1, 2026  

• AAA Region 7: Ross, Vinton, Highland, Pike, Jackson, Gallia, Brown, Adams, Scioto, Lawrence 

July 1, 2026  

• AAA Region 9: Holmes, Tuscarawas, Carroll, Jefferson, Coshocton, Harrison, Belmont, Guernsey, Muskingum 

August 1, 2026  

• AAA Region 8: Hocking, Perry, Morgan, Noble, Monroe, Washington, Athens, Meigs 

This phased approach allows us to keep our focus on you and your healthcare needs. To find additional information, visit the MyCare Ohio webpage on medicaid.ohio.gov.    

If you have questions about the Next Generation MyCare program, contact the Ohio Medicaid Consumer Hotline at https://www.ohiomh.com/ or call 800-324-8680. Representatives are available Monday through Friday 7 a.m. to 8 p.m. Eastern time (ET) and Saturday 8 a.m. to 5 p.m. ET.  

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OhioMHAS and ODM Take Steps Toward Statewide Expansion of MRSS

More young people will soon be able to get immediate help when experiencing a behavioral health crisis.  The Ohio Department of Mental Health and Addiction Services (OhioMHAS) and the Ohio Department of Medicaid (ODM) announced 12 providers were selected through a competitive process to provide Mobile Response and Stabilization Services (MRSS) throughout 18 Ohio regions.  The implementation of this regional model paves the way for service expansion in all of Ohio’s 88 counties. 

MRSS helps ensure children and youth are safe, served in their homes and communities, and receive necessary support and access to care they urgently need. The mobile response service provides assistance to young people aged 20 and younger and their families when that person is experiencing overwhelming mental or emotional distress, defined as a “crisis” by the person calling for help. Whether it’s at home, in school, or somewhere else in the community, calling the 988 Suicide & Crisis Lifeline will bring a team of trained professionals directly to the person in need.    

Currently available in more than 50 counties, MRSS will expand across the state through 18 MRSS regions in Ohio. Each Regional MRSS Provider (RMP) announced will be responsible for all aspects of MRSS support in their region, including initial dispatch, de-escalation, stabilization, data monitoring, and quality care assurance. MRSS providers will also perform an assessment to determine if the youth qualify for the OhioRISE program that serves young people with significant behavioral health needs, providing supportive services and wraparound care coordination. 

Read the full announcement here. For more information on MRSS, visit the OhioMHAS website. 

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Join Us for a Next Generation MyCare Community Visit!

As we prepare for the January 2026 launch of the Next Generation MyCare program, we will be attending community events around the state like senior center events, expos, and more to spread the word and answer questions about the program. We will also be meeting with community members, caregivers, and advocates across the state through informational community visits. During these visits, we will share more information about the Next Generation MyCare program, explain potential impacts and actions required, and answer any questions about this transition. Please join us at one of the events listed below to learn more. Additional sessions coming in 2025 and 2026.

Where can I go to learn more?

Visit the MyCare Ohio webpage on medicaid.ohio.gov to learn more about the Next Generation MyCare program.

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