As we gather with loved ones and reflect on the season, we want to take a moment to say how truly thankful we are for you—our valued members. Your trust, resilience, and partnership inspire everything we do.
Ohio Medicaid’s annual open enrollment ends November 30. You still have time to review your managed care options and select a plan that best fits your healthcare needs. You do not have to do anything if you want to keep your current managed care plan. But, if you decide to switch, the change will take effect December 1.
Taking part in annual open enrollment allows you to focus on yours and your family’s well-being. While reviewing plans, keep the following in mind:
- Which plan works with all or most of your doctors.
- Which plan works with the hospitals you want to use.
- Which plan offers the extra services you need, such as additional unemployment assistance, access to nutritious foods, education, wellness programs, or more vision and dental services.
- Will you have to pay co-pays for dental services, routine eye exams, eyeglasses, mental health, substance use disorder benefits, or non-emergency services provided in a hospital emergency department.
Helpful Resources
To help you select a plan, there are several resources available including:
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The 2026 Managed Care Health Plan Comparison Guide provides an overview of the services that all managed care plans offer as well as the specific value-added services available from each individual plan.
- The Find a Managed Care Provider search tool can help identify the managed care plans contracting with (“in network”) your trusted providers.
- The Open Enrollment Frequently Asked Questions answers questions related to annual managed care open enrollment.
- Each managed care plan has a member website that you can visit to learn more about their approach to serving Ohio Medicaid managed care members:
Explore the managed care plans available and enroll by visiting www.ohiomh.com or by contacting the Ohio Medicaid Consumer Hotline at 800-324-8680 (TTY 711). Help is available Monday–Friday from 7 a.m. to 8 p.m. and Saturday from 8 a.m. to 5 p.m. (Eastern time). Interpreters are available, and representatives can answer your questions about open enrollment.
The Ohio Department of Medicaid (ODM) has taken a significant step forward in strengthening support for self-directed care by selecting a new Financial Management Service (FMS) provider. Following a thorough procurement process, ODM awarded the contract to Public Partnerships LLC (PPL) to deliver consistent and reliable financial management for several key programs.
This partnership, secured through June 2027, ensures that individuals participating in self-direction programs continue to receive the financial oversight and support they need to thrive. Programs supported by PPL include:
- Ohio Department of Aging (AGE) - Operated Programs
- Pre-Admission Screening System Providing Options and Resources Today (PASSPORT)
- Ohio Home Care Waiver (OHCW)
- Integrated Care Delivery System (MyCare Ohio) waiver
- OhioRISE behavioral healthcare respite services (OhioRISE)
Mark your calendars - the Next Generation MyCare program will start on January 1, 2026. It will be available in the 29 counties where it is available today. Later in 2026, it will be available in the rest of Ohio.
What do I need to do ahead of the Next Generation MyCare Program?
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If you live in a MyCare Ohio county and you get care through Buckeye Health Plan, CareSource, or Molina HealthCare of Ohio, you will get your care through a Next Generation MyCare plan starting on January 1, 2026. If you want to keep your plan, no action is needed. If you want a different plan, you can switch now during open enrollment. You will receive information from your plan before the program is available.
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If you live in a MyCare Ohio county and get care through Aetna Better Health of Ohio or United Healthcare Community Plan, your plan will not be a MyCare plan after December 31, 2025. You can pick a different plan now during open enrollment. If you do not pick a different plan, you will be automatically enrolled in a Next Generation MyCare plan for your Medicaid benefits. Your plan will start January 1, 2026, and will have as many of your current doctors as possible. You will receive information from ODM about your new plan and options before the MyCare program is available.
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If you live in a current MyCare Ohio county and will become eligible for the program before January 1, 2026, you will get your Medicaid benefits through fee-for-service until your Next Generation MyCare plan starts. You will also get a letter from ODM before December of 2025 that tells you your plan, when it starts, and options to change your plan or align your Medicare and Medicaid coverage.
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If you are in or eligible for the MyCare Ohio program and in an Ohio Home Care, Ohio Assisted Living, or PASSPORT waiver program, you will be enrolled in the MyCare Ohio waiver starting on January 1, 2026.
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If you live a county where the Next Generation MyCare program will be available after January 1, 2026, you will get a letter from ODM that gives you information about your plan, when your it starts, and options to change your plan or align your Medicare and Medicaid plans when the program is available in your county.
Discover MyCare Ohio: Watch Our New Videos Today!
Learn more about the program and how it impacts you with our new micro videos.
Find them here.
What should I do if I have questions or need help?
If you have questions about choosing a Next Generation MyCare plan or doctors available by plan, contact the Ohio Medicaid Consumer Hotline at 800-324-8680 Monday through Friday 7 a.m. – 8 a.m. and Saturdays 8 a.m. – 5 p.m. Eastern time or visit www.ohiomh.com.
ODM is revamping the ways we connect with you and all our members. Follow us for updates on healthcare coverage, wellness tips, and important information for Ohioans. Stay connected and informed about the latest initiatives and resources available to you and your family.
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