Nov Industry Notes: Ohio – Four Managed Care Plans Selected for Next Generation MyCare Plans 

On November 1, the Ohio Department of Medicaid (ODM) announced four managed care organizations to serve as the Next Generation MyCare plans. MyCare Ohio is a managed care program designed for Ohioans who receive both Medicaid and Medicare benefits. The MyCare Ohio program combines Medicaid and Medicare benefits into one program, coordinated by a managed care plan. This approach to coordinating care keeps the member at the center of focus. 

The four Next Generation MyCare plans are:    

• Anthem Blue Cross and Blue Shield 
• Buckeye Health Plan 
• CareSource 
• Molina HealthCare of Ohio 

Friday’s announcement does not immediately impact current members and providers of the MyCare Ohio program. Current MyCare Ohio members will continue to receive services with their current MyCare Ohio plan until the Next Generation MyCare plans begin serving members in January 2026 and will not lose coverage. 

Starting in January 2026, the selected plans will be implemented in the 29 counties where MyCare Ohio is currently available, with statewide expansion following as quickly as possible. Ohio Medicaid providers interested in contracting with the Next Generation MyCare plans can do so by contacting the plan(s) they wish to contract with.