Next Generation MyCare plans selected!
ODM chose four Next Generation MyCare plans to serve Ohioans who are dually eligible for both Medicaid and Medicare starting January 2026.
Award AnnouncementOhio Department of Medicaid
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Medicaid Managed Care Open Enrollment
We know that members’ needs are everchanging, that’s why we encourage members to review and select a managed care plan that best fits their healthcare needs during annual open enrollment now through November 30. Learn more at https://www.ohiomh.com/.
Learn MoreDoula Coverage Begins Oct. 3, Here’s What You Need to Know
The Ohio Department of Medicaid (ODM), as part of a commitment to improve the health of pregnant women, will begin implementing coverage for doula services on October 3.
Read MoreImportant Update to Expected EVV Claims Adjudication Changes
The Ohio Department of Medicaid (ODM), to meet the best interests of stakeholders, providers and the program, is adjusting the effective date of changes to the Electronic Visit Verification (EVV) claims adjudication process. The changes originally planned to go into effect on October 1, will not take place any earlier than January 1, 2025. Look for information from ODM in the coming months with updates on this process.
Read MoreChange Healthcare Security Incident
Change Healthcare will soon begin sending notice letters to any Ohio Medicaid member who were impacted. Please visit www.changecybersupport.com or call 1-866-262-5342.
Read MoreNow accepting new trading partners
The Ohio Department of Medicaid (ODM) is now enrolling new trading partners. Interested trading partners can find additional enrollment information on the Trading Partner Enrollment and Testing page.
Enrollment and Testing InformationStill have questions about changes we made recently?
Next Generation launch resources for providers guide you on prior authorizations, claims, enrollment, credentialing, and more.
Learn MoreLet’s keep in touch!
Ohio Medicaid and our partners want to keep you in-the-know on your healthcare needs and to-dos. Make sure we know how to reach you by updating your contact information today.
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odx-news
odx-all-newsOhio Medicaid Announces MyCare Ohio Plans Chosen to Serve Ohioans in Next Generation Program
Four managed care plans selected to serve Ohioans eligible for Medicaid and Medicare.
November 01, 2024
The Ohio Department of Medicaid Introduces Mental Health Peer Support Services
New service added to the growing list of behavioral health resources available to Ohioans.
September 26, 2024
OhioRISE Now Serves Six Times More Children Two Years Following its Launch
More Ohio children than ever are being supported through a program that coordinates community resources to provide the best possible care for kids facing complex mental and behavioral health needs.
August 30, 2024
Common Questions
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Ohio Medicaid is changing the way we do business. We are redesigning our programs and services to focus on you and your family. The changes we make will help you more easily access information, locate health care providers, and receive quality care.
On February 1, 2023, Ohio Medicaid launched the new Electronic Data Interchange (EDI) and Fiscal Intermediary as part of our ongoing commitment to streamlining the provider administrative experience. Read on if you are looking for information specific to our current programs. For insights into what you need to know, visit managedcare.medicaid.ohio.gov/providers.
Ohio Medicaid achieves its health care mission with the strong support and collaboration of our stakeholder partners - state health and human services agencies, associations, advocacy groups, and individuals who help us administer the program today and modernize it for the next generation of healthcare.
The Ohio Department of Medicaid (ODM) provides health care coverage to more than 3 million Ohioans through a network of more than 165,000 providers. Learn more about Ohio's largest state agency and the ways in which we continue to improve wellness and health outcomes for the individuals and families we serve.