Next Generation MyCare Program Update

The Ohio Department of Medicaid (ODM) shared an update on the Next Generation MyCare program. MyCare Ohio is a managed care program designed for Ohioans who receive BOTH Medicaid and Medicare benefits. The slides and a recording are available.  

To allow for a smooth transition, ODM will roll out the Next Generation MyCare program in two phases, beginning with each of the 29 counties where MyCare Ohio is currently available. Statewide expansion of the MyCare program will follow as quickly as possible. This phased timeline allows ODM to partner with all stakeholders to prepare for the program expansion and provide members as little disruption as possible.

The plans starting in 2026 are Anthem, Buckeye, CareSource, and Molina. The phased timeline is organized around the AAA regions. See below for the full roll out approach:

 

Phase 1: Current MyCare Counties (January 1, 2026) 

On January 1, 2026, ODM will roll out the Next Generation MyCare program in each of the 29 counties where MyCare is currently available today. These counties have been a part of the MyCare Ohio program since 2015. This understanding of today’s program lowers the effort needed for transition.  

January 1, 2026: 

  • AAA Region 1: Butler, Warren, Clinton, Hamilton, Clermont
  • AAA Region 2: Montgomery, Clark, Greene
  • AAA Region 6: Franklin, Delaware, Union, Madison, Pickaway
  • AAA Region 4: Lucas, Fulton, Ottawa, Wood
  • AAA Region 10a: Lorain, Cuyahoga, Medina, Lake, Geauga 
  • AAA Region 10b: Summit, Portage, Stark, Wayne
  • AAA Region 11: Columbiana, Mahoning, Trumbull

Phase 2: Remaining MyCare Counties (April 1, 2026 – Onward) 

During Phase two, starting on April 1, 2026, and continuing through the year, ODM will roll out the Next Generation MyCare program in the remaining counties. On April 1, the below counties will be integrated into the Next Generation MyCare program. This approach allows all currently participating AAA regions that currently have experience in the MyCare Ohio program to bring the counties without MyCare today into the program, except for AAA region 2. Today, Catholic Social Services operates as the PASSPORT Agency Administrator in the non-MyCare Counties within AAA region 2, so additional time is needed for these counties.  

April 1, 2026: 

  • AAA Region 4: Sandusky, Erie, Henry, Williams, Defiance, Paulding
  • AAA Region 6: Fayette, Fairfield, Licking
  • AAA Region 11: Ashtabula

The remaining counties without MyCare will join the Next Generation MyCare program beginning May 1, 2026, to allow us necessary time to prepare AAA regions to deliver a personalized care experience for all members.  

May 1, 2026: 

  • AAA Region 2: Preble, Darke, Miami, Shelby, Champaign, Logan
  • AAA Region 3: Van Wert, Putnam, Hancock, Allen, Mercer, Auglaize, Hardin
  • AAA Region 5: Seneca, Huron, Wyandot, Crawford, Richland, Ashland, Marion, Morrow, Knox

June 1, 2026 

  • AAA Region 7: Ross, Vinton, Highland, Pike, Jackson, Gallia, Brown, Adams, Scioto, Lawrence

July 1, 2026 

  • AAA Region 9: Holmes, Tuscarawas, Carroll, Jefferson, Coshocton, Harrison, Belmont, Guernsey, Muskingum

August 1, 2026 

  • AAA Region 8: Hocking, Perry, Morgan, Noble, Monroe, Washington, Athens, Meigs

ODM will continue to provide periodic updates throughout the transition period about changes expected and detailed instructions and resources to help take any actions needed prior to implementation of the Next Generation MyCare plans.

Updates and resources on the MyCare Ohio program and available on the ODM website and the MyCare FAQ. Questions or comments related to the MyCare Ohio program can be sent to [email protected]