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Ohio Department of Medicaid · December 18, 2025 · Primary source

Ohio Medicaid Launches Next Generation MyCare Ohio Program Beginning January 1 COLUMBUS, Ohio, The Ohio Department of Medicaid (ODM) is announcing the launch of the Next Generation MyCare Ohio program, beginning January 1, 2026. December 18, 2025

Score 73PRIMARYregulatoryState MedicaidOH

Summary

Ohio Department of Medicaid announced the January 1, 2026 launch of the Next Generation MyCare Ohio program, restructuring coordinated care for more than 250,000 Ohioans dually eligible for Medicaid and Medicare across 29 Ohio counties. The program consolidates Medicare and Medicaid benefits under four selected health plans, three of which are available statewide: Anthem Blue Cross and Blue Shield, CareSource, and Molina Healthcare of Ohio. The redesign emphasizes enhanced behavioral health services, expanded transportation, and stronger long-term care and community-based living support.

What this may mean

Providers serving dual-eligible Medicaid and Medicare enrollees in the initial 29 Ohio counties must contract with and operate under the four newly selected Next Generation MyCare plans beginning January 1, 2026, with statewide expansion to follow. The program restructures benefits integration and plan selection for more than 250,000 dual-eligible Ohioans, directly affecting managed care organization contracts, provider network agreements, and behavioral health service delivery arrangements. The selected plans, including a new entrant to the program, change the competitive landscape for managed care organizations serving Ohio's dual-eligible population.

Informational only. Not legal, medical, financial, or other professional advice. Always consult a qualified professional familiar with your specific facts before relying on any item.

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