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ODM Announces Six Partners to Further Next Generation of Managed Care
The Ohio Department of Medicaid (ODM) on Friday, April 9, 2021 announced the selection of six health care organizations to lead the department's evolution of managed care services for its more than 3 million members and thousands of medical providers. Additional information about the announcement can be found in the press release and supplemental briefing documents.
The selection comes after more than two years of intensive stakeholder engagement to define opportunities to strengthen the structure of Ohio's $20 billion managed care program. it addresses Governor Mike DeWine's direction at the beginning of his term to re-evaluate Ohio's managed care system with the goal of making the system more focused on individuals.
"Since the start of this process, we have listened to input and guidance from Ohio Medicaid members and their families, Ohio health care providers, and community advocates and stakeholders," said Ohio Medicaid Director Maureen Corcoran. "This is a cold, new vision for Ohio's Medicaid program - one that focuses on people and not just the business of managed care."
The announcement, which follows a rigorous procurement process, "is a giant step toward a comprehensive overhaul of Ohio's managed care structure; it will deliver the kind of health coverage that Ohioans need and deserve," she said.
The six MCOs selected for the next generation managed care program are:
- UnitedHealthCare Community Plan of Ohio, Inc.
- Humana Health Plan of Ohio, Inc.
- Molina Healthcare of Ohio, Inc.
- AmeriHealth Caritas Ohio, Inc.
- Anthem Blue Cross and Blue Shield
- CareSource Ohio, Inc.
Ohio Medicaid is deferring for additional consideration its decision related to Buckeye Community Health Plan.
Members will continue to receive service with their current managed care plans until the transition in early 2022 and will not lose coverage. Members will have the opportunity to select a new plan during the 2021 open enrollment period later this summer. If members do not select a plan, one will be automatically assigned to them, assuring continuous access to health care without interruption.
Ohio Medicaid's next generation managed care selection, contingent upon the signing of contracts, is slated to go live in early 2022. Members will continue to receive services with their current plans through the transition period and will have the opportunity to select a new plan through an open enrollment period beginning this summer.
Learn more about the next generation of Ohio Medicaid's' managed care program by visiting our website.
