When you're working with providers to get ready for the Next Generation MyCare program, it's important to know the steps they need to follow to support members. By encouraging providers to participate in the program, you'll be giving the members you serve more choices for their care. To become a Next Generation MyCare program provider, they must:
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Enroll with the Ohio Department of Medicaid (ODM) by visiting the Medicaid Provider Portal and completing the online application (credentialing, if required, will occur during application processing).
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Contract with the Next Generation MyCare plans by contacting each of the plans they wish to contract with.
Next Generation MyCare plans are not required to contract with every provider. If a provider does not have a contract with a Next Generation MyCare Plan, they may still be able to set up a noncontracted reimbursement agreement (single case agreement).
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The Ohio Department of Medicaid (ODM) is rolling out the Next Generation MyCare program on January 1, 2026. To make sure members are prepared, ODM has created a variety of resources. As you engage with members and advocates, please share these valuable tools to help everyone understand the program and know where to find help.
Visit the MyCare Ohio webpage on medicaid.ohio.gov to learn more.
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