2022 Next Generation Plan Enrollment

On December 1, 2022, Ohio Medicaid’s Next Generation managed care plans will provide a more personalized approach to support your healthcare needs. Ohio Medicaid members are encouraged to select their Next Generation managed care plan now!

The Next Generation managed care plans changes do not apply to MyCare Ohio plans, which will continue to provide benefits to Ohioans who receive both Medicaid and Medicare benefits, with enhanced coordination of medical, behavioral, and long-term care services.

Today, Ohio Medicaid managed care members can review and compare the seven Next Generation managed care plans available and choose the Next Generation plan that best fits their healthcare needs.

Resources to help you identify the Next Generation plan that best meets your healthcare needs

Selecting a Next Generation managed care plan

To make a Next Generation plan selection, Ohio Medicaid members can either visit the Ohio Medicaid Consumer Hotline Portal at https://members.ohiomh.com or contact the Ohio Medicaid Consumer Hotline at (800) 324-8680.

Timeline for choosing a Next Generation managed care plan

Ohio Medicaid managed care members can select a Next Generation plan at any time through November 30. This allows members time to review and compare all next generation managed care plans and choose the plan that is best for them.

Current members with Buckeye, CareSource, Molina, or UnitedHealthcare

Current Ohio Medicaid managed care members who do not select a plan - to either move to a new plan or stay with their current plan - will remain with their current plan.

Current members with Paramount

Paramount Advantage Medicaid has been acquired by Anthem Blue Cross and Blue Shield (Anthem). Anthem is working with Paramount Advantage to continue providing members’ healthcare coverage. Members do not need to take any action to begin receiving healthcare benefits through Anthem and there will be no disruption in their care. Anthem will continue to provide healthcare coverage in the Next Generation program. Current Paramount members can select a different plan at any time during the member transition and enrollment period.

Members newly eligible for Medicaid managed care

Individuals who are newly eligible for managed care, those who are currently in Medicaid fee-for-service not enrolled with a managed care plan, and those with a gap in eligibility of 91+ days will receive care paid for through Medicaid fee-for-service until December of 2022 when they will be transitioned to an Ohio Medicaid Next Generation plan.

ODM will notify impacted members which plan they have been transitioned to. Members can review and select the Next Generation plan that best fits their healthcare needs at any time through open enrollment through November 30, 2022. Newborns and case additions will continue to be added to managed care plans as they become Medicaid eligible during this time.

Members enrolled in the OhioRISE program

OhioRISE enrollees will receive their behavioral health benefits through Aetna (the OhioRISE plan) and their physical health services through a separate managed care organization or fee-for-service Medicaid.

Learn more about the Next Generation of Ohio Medicaid

To learn more about the other components of the Next Generation of Ohio Medicaid, please visit the websites below: