04/02/2026

Ohio Expands Next Generation MyCare Program to Additional Counties

Ohio continues to move forward with a major overhaul of how care is delivered to people eligible for both Medicaid and Medicare. The Next Generation MyCare Ohio program is central to that shift, bringing services under a single, coordinated model intended to simplify access and improve continuity of care. As Phase 2 launches April 1, providers in newly added counties will begin seeing operational and enrollment changes tied to this transition.

What You Need To Know

• The Ohio Department of Medicaid is launching Phase 2 of the Next Generation MyCare program on April 1.
• The program will expand into 10 additional counties: Ashtabula, Defiance, Erie, Fairfield, Fayette, Henry, Licking, Paulding, Sandusky, and Williams.
• MyCare coordinates Medicare and Medicaid benefits for more than 250,000 Ohioans who are dually eligible.
• The updated model includes expanded behavioral health services, transportation supports, and stronger access to long-term services and community-based care.
• Three statewide plans—Anthem Blue Cross and Blue Shield, CareSource, and Molina Healthcare of Ohio—will serve members; Buckeye Health Plan will not accept new members in 2026.

What Happens Next

• Additional counties will continue to phase in throughout 2026 as Ohio moves toward a fully statewide model.
• Members in newly added counties will begin enrollment and transition into participating health plans.
• Providers should expect continued alignment of Medicare and Medicaid services under single managed care plans.

What to Do

• Review the Next Generation MyCare Program Overview One-Pager, Next Generation MyCare Member Frequently Asked Questions, and Next Generation MyCare Member Help Desk One-Pager to understand plan changes and supports.
• Identify which of the three statewide plans your organization contracts with—and where gaps may exist.
• Prepare staff to answer questions from individuals and families about enrollment, services, and care coordination.
• Monitor the Ohio Department of Medicaid’s MyCare webpage for updates on additional county rollouts and operational guidance.