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Ohio Department of Medicaid · April 1, 2026 · Primary source

Ohio Medicaid Announces Phase 2 Rollout of the Next Generation MyCare Ohio Program on April 1 COLUMBUS, Ohio, The Ohio Department of Medicaid (ODM) is implementing the Phase 2 Rollout of the Next Generation MyCare program effective April 1 April 01, 2026

Score 70PRIMARYregulatoryState MedicaidOH

Summary

Ohio Department of Medicaid implemented Phase 2 of the Next Generation MyCare program effective April 1, 2026, expanding coverage to ten additional Ohio counties beyond the 29 that launched January 1, 2026. The expansion covers Ashtabula, Defiance, Erie, Fairfield, Fayette, Henry, Licking, Paulding, Sandusky, and Williams counties, with statewide expansion planned throughout the remainder of 2026. Buckeye Health Plan is not available for new members in 2026 under the restructured program, and three statewide plans continue: Anthem Blue Cross and Blue Shield, CareSource, and Molina Healthcare of Ohio.

What this may mean

Providers serving dual-eligible Medicaid and Medicare enrollees in the ten newly added Ohio counties must transition to Next Generation MyCare plan contracting and benefit coordination as of April 1, 2026. Buckeye Health Plan's exclusion from new member enrollment in 2026 requires existing Buckeye members and their providers to transition to one of the three remaining statewide plans, affecting claims routing and network participation. Statewide expansion will continue in phases throughout 2026, incrementally expanding these contracting and transition obligations to all Ohio counties.

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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