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Ohio Medicaid Next Generation February 1 Launch Resources


The following is an important message shared with OAMES from the Ohio Department of Medicaid:

Over the past year, Ohio Department of Medicaid (ODM) has prepared for and successfully launched many components of the Next Generation Ohio Medicaid program. Our implementation has consistently followed two of our key Next Generation commitments – to focus on the individual and improve the provider experience. We will continue implementing new components and improvements as they are fully ready to support our mission. Next we are implementing the Next Generation managed care plans, new Electronic Data Interchange (EDI) module, and Fiscal Intermediary (FI) on February 1, 2023.

The Next Generation managed care plan changes and EDI trading partner transactions do not apply to MyCare Ohio plans, which will continue to provide benefits to Ohioans who receive both Medicaid and Medicare benefits, with enhanced coordination of medical, behavioral, and long-term care services.

What you need to know for the February 1 launch

We recognize that you, our partners, are often the first contact for member and provider questions – our goal is to provide you with materials to describe the changes they will experience, ways they can get support, and where you can go for answers to their questions. As always, we will continue to keep you all updated and share additional resources as they are available closer to February 1.

Linked below are a variety of resources to guide members and providers in understanding the February 1 launch:

As we approach February 1, ODM is currently working on additional member and provider resources that will be available on the Next Generation website, ODM Press, or ODM Periodical.  Watch for continued updates and as always, if you have any questions, please email the Next Generation mailbox.

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