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02/02/2023

New Changes in the Ohio Medicaid Next Generation Managed Care Program are Here

 

Yesterday, the Ohio Department of Medicaid (ODM) launched new initiatives as part of its Next Generation of Ohio Medicaid program. This included the launch of its seven Next Generation managed care plans, available for members to receive a more personalized care experience with services and supports to best fit their individual healthcare needs. Additionally, ODM launched the Electronic Data Interchange (EDI) and Fiscal Intermediary (FI) to improve the provider experience by increasing transparency and visibility of care and services.

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

What Medicaid managed care members need to know:

Are you a member or authorized representative who needs assistance or questions answered?

Ohio Medicaid managed care members can utilize the resources below to learn more about the February 1 launch of the Next Generation program.

In addition to the resources above, Ohio Medicaid managed care members can reach out to the help desks listed below or review the February 1 Launch Ohio Medicaid Member Help Desk One-Pager.

What Medicaid managed care providers need to know:

Are you a provider who needs assistance or questions answered?

Ohio Medicaid providers can utilize the resources below to learn more about the February 1 launch of the Next Generation program:

In addition to the resources above, Ohio Medicaid providers can reach out to the help desks listed below or review the February 1 Launch Ohio Medicaid Provider Help Desk One-Pager.

To learn more about Ohio Medicaid’s Next Generation program and mission, visit the Next Generation website.

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