2022 Next Generation Plan Enrollment

Starting July 1, Ohio Medicaid's managed care program will change for the better! The Ohio Department of Medicaid is introducing its next generation managed care plans to provide a more personalized approach to support all members' health care needs. These changes do not include MyCare.

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 is the best fit for them.

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://www.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 from March 1, 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.

Depending on when an Ohio Medicaid managed care member selects a plan, their next generation plan will be effective on different dates. See the table below to determine when an Ohio Medicaid managed care member will begin receiving services through their next generation plan based on the plan selection date.

Plan Choice Date Plan Effective Date
Now - June 11 July 1
June 12 - July 30 August 1
August 1 - November 30 The first day of the following month

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

Ohio Medicaid members currently receiving healthcare benefits through Paramount Advantage will continue to receive healthcare benefits through that plan through June 30. Unless a member chooses another plan by June 11, they will be enrolled with Anthem Blue Cross and Blue Shield on July 1. 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-services through June 30.

On July 1, the members in this group who are eligible for a managed care plan will be assigned to a next generation plan by ODM and will begin receiving services from that plan. ODM will notify impacted members which plan they have been assigned to, and members can select a different plan at any time through November 30. Newborns and case additions will continue to be added to managed care plans as they become Medicaid eligible during this time.

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: