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Learn More About Next Generation MyCare

The Next Generation MyCare Program

On January 1, 2026, the Ohio Department of Medicaid (ODM) implemented the Next Generation MyCare program to provide enhanced healthcare benefits to Ohioans who have both Medicaid and Medicare. The program is available in 29 counties. Later in 2026, it will be available in the rest of Ohio. This program helps members get the care they need all in one plan.
ODM designed the program to:
  • Focus on the individual
  • Help individuals and communities be healthier
  • Give everyone the best care for their needs
  • Help providers keep making care better
  • Improve care for individuals with complex needs and help them live independently in their communities
  • Make the program more transparent and responsive
Your Next Generation MyCare plan gives you all benefits available through traditional Medicare and Medicaid programs. This includes long-term care services in the community, assisted living, and in a nursing facility as well as behavioral health services. Your plan may also provide extra benefits like additional transportation, rewards, and more. Learn more about the benefits available to you and your plan options by viewing the Next Generation MyCare Plan Comparison.
What is the timeline for the Next Generation MyCare program?
In the program, the plans partner with the Area Agencies on Aging (AAA) to serve you. AAAs are regional agencies that work with your plan to support your care. Because of this, the program roll out schedule is based on the AAA regions and the counties they serve. Locate your county in the roll out schedule to see when the program will be available for you.
Am I eligible?
In the Next Generation MyCare program, you are enrolled when the program is available in your county if you meet the following criteria*:
  • Have full Medicaid
  • Have Medicare parts A, B, and D
  • Are 21 or older
*If you are on a Program for All-Inclusive Care for the Elderly (PACE) or a Developmental Disabilities waiver (Individual Options, Self-Empowered Life Funding, or Level One) or have health insurance that covers both inpatient hospital stays and doctor visits, you are not enrolled in the Next Generation MyCare program.
What plans are available in the Next Generation MyCare program?
There are four Next Generation MyCare plans. Three of the plans are available for you to select statewide. These plans cover your Medicare and Medicaid benefits.
The plans available statewide are:
Buckeye Health Plan is not an option for new members in the Next Generation MyCare program. Members who had Buckeye Heath Plan in the previous MyCare Ohio program can continue to receive care through that plan if they choose.
The Next Generation MyCare program is here - what does this mean for me?
Eligible members are now receiving benefits through a Next Generation MyCare plan. If you were in the Ohio Home Care, Assisted Living, or PASSPORT Waiver when enrolled in the program, you are now enrolled in the MyCare Ohio Waiver. In the MyCare Ohio wavier program, you have the same benefits, or more, available to you.
Where can I go with questions about the Next Generation MyCare program?
If you want to learn more about the Next Generation MyCare plans or doctors available by plan, contact the Ohio Medicaid Consumer Hotline at 800-324-8680 or www.ohiomh.com.
If you need help comparing the plans available in your area, including the Next Generation MyCare plans, you can contact the Ohio Department of Insurance Ohio Senior Health Insurance Information Program (OSHIIP) at 800-686-1578 or oshiipmail@insurance.ohio.gov.
Learn More about the Next Generation MyCare Program
To learn more, visit the Next Generation MyCare Families & Individuals webpage on medicaid.ohio.gov or view the following resources: