Ohio Department Medicaid (ODM) is implementing its Next Generation MyCare program beginning in January 2026. The program will better serve Ohioans who are dually eligible for both Medicare and Medicaid healthcare coverage.
The MyCare Ohio plan that you choose will provide all the same benefits that Medicare and Medicaid offer, including long-term care services and behavioral health. Plus, your MyCare Ohio plans may include additional services to you.
ODM designed its Next Generation MyCare program to:
- Focus on the individual.
- Improve individual and population wellness and health outcomes.
- Create a personalized care experience.
- Support providers in continuously improving care.
- Improve care for individuals with complex needs to promote independence in the community.
- Increase program transparency and accountability.
ODM awarded four managed care organizations as ODM’s Next Generation MyCare plans. The selected plans include a continued partnership of some of the MyCare Ohio plans who have served MyCare Ohio members in the current demonstration as well as the addition of new plans that have served in the Next Generation managed care program to allow you to have more choices to meet your healthcare needs. The four Next Generation MyCare plans are:
If you are currently enrolled in a MYCARE Ohio plan that will no longer be available in January 2026 you will have the opportunity to select a new carrier during this fall open enrollment period. If you are currently enrolled in a MYCARE Ohio plan that will be continuing into plan year 2026 you are free to continue with that carrier or feel free to change during the fall open enrollment. Watch your mail for additional information that will be mailed out this fall prior to open enrollment for more information.
For questions about MYCARE Ohio you can find information on the Ohio Dept of Medicaid website at Medicaid.ohio.gov or by calling 800.324.8680.