Last week, the Ohio Department of Medicaid (ODM) convened the Mycare Ohio Advisory Workgroup to give an update on the progress of the MyCare Next Generation rollout and solicit feedback from the group. The Next Generation program focuses on the healthcare needs of Ohioans who are dually eligible for both Medicare and Medicaid healthcare coverage. ODM is implementing Next Generation MyCare January 1, 2026, for the 29 counties where MyCare Ohio is currently available. Phase two will be statewide expansion for the remaining 59 counties in Ohio, starting on April 1, 2026 and continuing through the year.
ODM is holding visits around the state to educate communities on MyCare Ohio to help individuals prepare for the implementation and gather feedback from stakeholders. Also discussed in depth were various enrollment scenarios applicable to Medicaid-only MyCare members that may be encountered throughout each of the phases as individuals come onto the program. Since they often coordinate MyCare services, Ohio’s Area Agencies on Aging have developed a Learning Management System that offers courses on self direction, to minimize member disruption. Finally the group also got a preview of existing plan letters and the Next Generation MyCare ID card that members will be receiving.
For additional information, individuals can be directed to the MyCare Ohio program member frequently asked questions document.