Next Generation MyCare is Ohio’s improved program for people who have both Medicaid and Medicare. It brings your benefits together, adds care coordination, and expands supports to help you live as independently as possible. The program begins statewide on January 1, 2026, and becomes available in the Buckeye Hills region (Athens, Hocking, Meigs, Monroe, Morgan, Noble, Perry, and Washington counties) on August 1, 2026.
Call our Advice Line to schedule a free consultation with a care professional who will assist with identifying the services an individual may qualify for to help them at home.
The Next Generation MyCare program is an improved healthcare program for Ohioans who have both Medicaid and Medicare, offering the care you need in one plan. The program will start on January 1, 2026. It will be available in the 29 counties where MyCare Ohio is available today. Later in 2026, it will be available in the rest of Ohio.
A Next Generation MyCare plan gives you all the benefits available through the traditional Medicare and Medicaid programs. This includes long-term care services both in the community, assisted living, and in a nursing facility as well as behavioral health services. Your plan may also provide additional benefits like additional transportation, rewards, and more.
The Ohio Department of Medicaid (ODM) designed its Next Generation MyCare program to:
Keep reading to learn more about the Next Generation MyCare program or view the Ohio Department of Medicaid’s Frequently Asked Questions document, or the Member Help Desk One-Pager to find who to call for help.
In the Next Generation MyCare program, you are enrolled when the program is available in your county if you meet the following criteria*:
*If you are on a Program for All-Inclusive Care for the Elderly (PACE) or a Developmental Disabilities waiver (Individual Options, Self-Empowered Life Funding, or Level One) or have health insurance that covers both inpatient hospital stays and doctor visits, you will not be enrolled in the Next Generation MyCare program.
If you enroll in a MyCare Ohio plan for both your Medicare and Medicaid benefits, you will have:
Your plan may also give you extra benefits like additional transportation, rewards, and more.
View the Next Generation MyCare Plan Comparison at ohiomh.com by clicking the “Compare MyCare Ohio Plans” button under “Compare Plans and Find a Provider” section to learn more.
If your MyCare Ohio plan only covers your Medicaid benefits, you may have:
When the program is available in your county, you will get a letter from ODM with important information, including:
If you only get your Medicaid benefits through your Next Generation MyCare plan and want to pick a different plan for your Medicaid benefits, you can pick a different plan for up to 90 days after you joined the program. You can also change plans throughout the year for just cause.
Just cause is when you are concerned with or have issues getting care due to the plan you are on.
If you get your Medicaid and Medicare benefits through a Next Generation MyCare plan, you can change your plan at any time through Medicare. Your new plan and benefits will begin on the first day of the following month.
Contact the Ohio Medicaid Consumer Hotline at 800-324-8680 to discuss your options for picking a new plan.
If you get only your Medicaid benefits through your Next Generation MyCare plan and want to align your Medicare and Medicaid benefits through that plan, you can enroll at any time through Medicare. Your new plan and benefits will begin on the first day of the following month.
Contact Medicare at 800-633-4227 or the Ohio Medicaid Consumer Hotline at 800-324-8680 to discuss your options for getting your benefits through one plan.
