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Learn More About Next Generation MyCare

The Next Generation MyCare Program

The Next Generation MyCare program provides enhanced healthcare benefits to Ohioans who have both Medicaid and Medicare. This program helps you get the care you 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 your needs
  • Help providers keep making care better
  • Improve care for individuals with complex needs and help you live independently in your communities
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. View the Next Generation MyCare Plan Comparison at www.ohiomh.com by clicking the "MyCare Ohio Plan Comparison" option under the "Compare Plans" section to learn more.
How did the Next Generation MyCare program roll out?
To support a smooth transition, ODM rolled out the Next Generation MyCare program in two phases. This let us work with providers, advocates, and more to get ready for the program and give you the best experience possible.
  • Phase 1 (January 1, 2026): The program became available in the 29 counties where the original MyCare Ohio program begun.
  • Phase 2 (April 1 – August 1, 2026): The program rolled out in the rest of Ohio.
Locate your county in the Rollout Schedule to see when the program became available in your county.
Am I eligible?
You are eligible to be enrolled in the program if you meet the following criteria:
  • Have full Medicaid
  • Have Medicare parts A, B, and D
  • Are 21 or older
  • Are not already enrolled in a Program for All-Inclusive Care for the Elderly (PACE), a Developmental Disabilities waiver, an Intermediate Care Facility, or have other health insurance that covers both inpatient hospital stays and doctor visits
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 in plan year 2026.
The Next Generation MyCare program is here - what does this mean for me?
  • If you selected a plan before the program was available in your county, you are now receiving care through your selected plan.
  • If you did not select a plan before the program became available in your county, you will be automatically enrolled in a plan for your Medicaid benefits. If you have not already, you will receive a letter from ODM or your plan with additional information.
  • If you want to get your benefits through a Next Generation MyCare plan sooner or change your plan, contact the Ohio Medicaid Consumer Hotline at 800-324-8680. Once you select a plan, you will start receiving care from that plan on the first day of the following month.
  • If you were in the Ohio Home Care, Assisted Living, or PASSPORT waiver when you were enrolled in the program, you are now enrolled in the MyCare Ohio Waiver. In the MyCare Ohio Waiver program, you have the same benefits, or more, available to you.
Once you are enrolled with your plan, you should receive a new member ID card and other materials explaining your benefits. You should contact your plan if you do not receive or have questions about these materials.
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.
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: