What is Ohio's Next Generation MyCare Program?

Ohio’s updated MyCare program for individuals with both Medicaid and Medicare is designed to integrate benefits and improve member and provider experience. Next Generation MyCare beings to be available in select parts of Ohio January 1, 2026, with statewide rollout through 2026. Next Generation MyCare will become available in Southeast Ohio on August 1, 2026.

How Do I Get Started with MyCare?

When the Next Generation MyCare program becomes available in Southeast Ohio in August 2026, you will receive a letter from the Ohio Department of Medicaid with important information, including:

  • The name of your Next Generation MyCare plan
  • The date your new plan begins
  • Your options for changing your plan or coordinating your Medicare and Medicaid coverage

Once you are enrolled in your Next Generation MyCare plan, you should receive your new member ID card and other materials from your new plan explaining your benefits. Contact your plan if you did not receive these materials.

  • Anthem Blue Cross and Blue Shield: (833) 727-2169
  • Buckeye Health Plan*: (855) 445-3562
  • CareSource: (855) 475-3163
  • Molina HealthCare of Ohio: (866) 856-8295

*Buckeye Health Plan will not be an option for new members in the 2026 plan year.

What Services Does MyCare Provide?

The Next Generation MyCare program coordinates your Medicaid and Medicare benefits. If you receive both your Medicaid and Medicare benefits through a Next Generation MyCare plan, your plan covers your entire healthcare benefit. This includes behavioral health services and long-term care services for those in the community, assisted living, and in a nursing facility.

ODM has also improved the MyCare Ohio program to give you the best care possible. These changes include:

  • Better transportation options to get you to and from your appointments
  • More in-home providers available to you
  • Shorter wait time for prior authorizations

With the Next Generation MyCare program, you may notice updates to the services or benefits you receive. View your plan’s website for more information about the benefits and services available to you.

Caregiver puts her hand on the shoulder of an older adult woman receiving PASSPORT services

Next Generation MyCare Help

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. Buckeye Hills accepts referrals from families,

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