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The Ohio Department of Medicaid (ODM) would like to thank you for the information provided as part of the Next Generation MyCare AAA Transition Plan Summaries. The AAAs have an important role in helping ODM and the plans implement the Next Generation MyCare program and supporting members in having the best healthcare experience possible.
As we continue to move toward the implementation of the Next Generation MyCare program, ODM will continue to work with the plans and Ohio Association of Area Agencies on Aging (O4A) to prepare for implementation and statewide roll out.
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Mark your calendars - the Next Generation MyCare program starts on January 1, 2026, and is bringing improvements to members and providers. Encourage members to sign up for our Next Generation MyCare Program Overview for Members and providers to sign up for our Next Generation MyCare Program Overview for Providers webinar to learn more about the program and what it means for them.
How Can You Support Members?
Medicaid and Medicare open enrollment is happening now. During this time Members can choose a Next Generation MyCare plan. Once a member is enrolled in a plan, they will receive important information from their plan, including a member identification (ID) card.
ODM has resources to support members that we encourage you to share when interacting with members or member advocacy groups.
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How Can You Support Providers?
Providers must enroll with ODM and contract with the Next Generation MyCare plans to provide services to members.
Additionally, the way they submit Electronic Data Interchange (EDI) claims for Next Generation MyCare members is changing. EDI claims will now come through the Ohio Medicaid Enterprise System (OMES) one front door. ODM has support resources to that we encourage you to share when interacting with providers or providers advocacy groups.
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