Ohio Medicaid and Managed Care
The next generation of Ohio Medicaid managed care is here to do better by you. Strong care coordination and partnerships allow Medicaid to focus on individuals. We are working hard to enhance care for children and adults with complex needs. Our goal is to create easy access to care for you. Ohio Medicaid understands that needs vary from person to person. We are here to help create a personal health plan that serves you and provides better outcomes.
Ohio Medicaid lets you choose the managed care plans that is right for you and your family. Read more about managed care or view detailed dashboards and report cards below for each plan.
Ohio Medicaid is here to help Ohioans in times of need. Learn about various types of Medicaid eligibility, how to enroll, health care services covered by Ohio Medicaid, and other programs to strengthen your health and well being.
Ohio Medicaid provides a comprehensive package of health care treatments and services.
Programs & Initiatives
Programs and Initiatives Available to Ohio Medicaid Recipients
Home and Community-Based Services
Home and community-based services provide opportunities for individuals to receive services in their own home or community.
Healthchek is Ohio's Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Program. It is a service package for babies, kids, and young adults younger than age 21 who are enrolled on Ohio Medicaid.
Specialized Recovery Services
Information about Specialized Recovery Services (SRS) program and those who qualify.
Managed Care Procurement
New Medicaid Managed Care contracts to reframe the system of coordinated health care for Medicaid Members.
Provider Network Management (PNM) & Centralized Credentialing
A centralized portal to reduce the administrative burden on providers by streamlining the process for provider certification.
OhioRISE (Resilience through Integrated Systems and Excellence)
A specialized Medicaid managed care plan with tailored services to meet the needs of youth with complex needs.
Ohio Medicaid Single Pharmacy Benefit Manager (SPBM)
A single system to improve management and administration of pharmacy benefits for managed care recipients while decreasing costs for the state.
A single point of entry for all provider claims and prior authorization requests.
Are you interested in learning more about Ohio Medicaid and its programs?
Helping Ohioans Move, Expanding Choice
Maternal and Infant Support
The Ohio Department of Medicaid (ODM) is the largest maternity care payer in Ohio.
Having your child tested is very important. Be sure to ask your child's doctor about blood lead screenings at your next visit.
Private Duty Nursing
Private Duty Nursing (PDN) is a service that provides Medicaid-eligible individuals with continuous skilled nursing services in their home.
Additional Long-Term Care Services
Home and community-based services provide opportunities for individuals to receive services in their own home or community. These programs serve a variety of targeted populations, such as people with mental illnesses, intellectual or developmental disabilities, and/or physical disabilities.
Qualified Income Trust Template
Qualified Income Trust, Certification of Trust Form.
Disability Determination Redesign
The Executive Budget enacted in June 2015 authorizes the State of Ohio to replace its two disability determination systems with one system any time after June 30, 2016.