12/30/2025
Statewide Phase-In Set for Next Generation MyCare Expansion
The Ohio Department of Medicaid will begin a phased expansion of its redesigned MyCare program in 2026, extending integrated Medicare-Medicaid coverage statewide over the spring and summer. The updated program, part of Ohio’s broader Next Generation managed care redesign, is intended to improve care coordination for Ohioans eligible for both Medicare and Medicaid, with added emphasis on behavioral health, transportation, long-term services, and community-based living.
What You Need To Know
- The Next Generation MyCare program launches January 2026 in the 29 counties currently served, including Franklin, Cuyahoga, Hamilton, Lucas, Montgomery, and Summit counties.
- Contracts were awarded to Anthem Blue Cross and Blue Shield, CareSource, Molina Healthcare of Ohio, and Buckeye Health Plan. Anthem, CareSource, and Molina will be available statewide as expansion proceeds.
- Existing Buckeye members in current MyCare counties may remain enrolled, but Buckeye will not be available to new MyCare members outside those areas.
What Happens Next
- Additional counties will be added between April and August 2026, organized by Area Agency on Aging regions, with rollout dates staggered monthly. Find your county’s rollout here.
- ODM has indicated the schedule is contingent on results from plan readiness surveys and operational reviews.
What to Do
- Providers serving dual-eligible Ohioans should review upcoming regional rollout dates and assess potential impacts on contracts, care coordination, and resident or participant choice.
- Organizations may wish to prepare staff and residents for plan transitions as MyCare becomes available in new counties.