Letters
The list below contains the name, description and sample copy of letters. These letters and notices will be sent by the program as they become relevant to the member.
Letter | Description | English | English Large Print | Spanish | Spanish Large Print | Somali | Somali Large Print |
---|---|---|---|---|---|---|---|
MyCare Ohio Reminder Letter | Sample of the enrollment reminder letter sent to MyCare Ohio enrollees 30 days prior to their plan's effective date informing them of their assigned plan and enrollment options. | Download | Download | ||||
60 Day MyCare Ohio Reminder Letter | Sample of the enrollment reminder letter sent to MyCare Ohio enrollees 60 days prior to their plan's effective date informing them of their assigned plan and enrollment options. | Download | Download | Bajar | Bajar | Furan | Furan |
Mandatory Enrollment Letter | Sample of enrollment letter sent to Medicaid Managed Care enrollees informing them of their assigned plan, program information and their enrollment options. | Download | Download | Bajar | Bajar | Furan | Furan |
Voluntary Enrollment Letter | Sample of enrollment letter sent to individuals to make them aware of their option to enroll into Medicaid Managed Care. Medicaid Managed Care information is provided to help individuals make decisions on coordinating their Medicaid health benefits. | Download | Download | Bajar | Bajar | Furan | Furan |
End Dates Disenrollment Letters | Sample of the disenrollment letter sent to consumers when their Ohio Medicaid managed care coverage ends and Ohio Medicaid fee-for-service coverage begins instead. | Download | Download | Bajar | Bajar | Furan | Furan |
History Disenrollment Letters | Sample of the disenrollment letter sent to consumers when Ohio Medicaid managed care coverage is found not to have been in effect and Ohio Medicaid fee-for-service coverage applies instead. | Download | Download | Bajar | Bajar | Furan | Furan |