Materials
The list below contains program materials.
| Document | English | English Large Print | Spanish | Spanish Large Print |
|---|---|---|---|---|
| Medicaid Managed Care Enrollment Form | Download | Download | Bajar | Bajar |
| Medicaid Managed Care Plan Comparison | Download | |||
| Medicaid Managed Care Plan Report Card | Download | |||
| Medicaid Solicitation Brochure - AmeriHealth Caritas Ohio | Download | |||
| Medicaid Solicitation Brochure - Anthem Blue Cross and Blue Shield | Download | |||
| Medicaid Solicitation Brochure - Buckeye Health Plan | Download | |||
| Medicaid Solicitation Brochure - CareSource | Download | |||
| Medicaid Solicitation Brochure - Humana Healthy Horizons in Ohio | Download | |||
| Medicaid Solicitation Brochure - Molina HealthCare of Ohio, Inc. | Download | |||
| Medicaid Solicitation Brochure - UnitedHealthcare Community Plan of Ohio | Download | |||
| MyCare Ohio Plan Comparison | Download | |||
| MyCare Ohio Enrollment Form for the Central and South West Regions which include the following counties: Butler, Clermont, Clinton, Delaware, Franklin, Hamilton, Madison, Pickaway, Union and Warren | Download | Download | Bajar | Bajar |
| MyCare Ohio Enrollment Form for the East Central and North East Central Regions which include the following counties: Columbiana, Mahoning, Portage, Stark, Summit, Trumbull and Wayne | Download | Download | Bajar | Bajar |
| MyCare Ohio Enrollment Form for the North East Region which includes the following counties: Cuyahoga, Geauga, Lake, Lorain and Medina | Download | Download | Bajar | Bajar |
| MyCare Ohio Enrollment Form for the North West Region which includes the following counties: Fulton, Lucas, Ottawa and Wood | Download | Download | Bajar | Bajar |
| MyCare Ohio Enrollment Form for the West Central Region which includes the following counties: Clark, Green and Montgomery | Download | Download | Bajar | Bajar |
| Standardized Appeal Form | Download | |||
| QIT Information Packet | Download | |||
| Medicaid Application Form | Download | Bajar |