January 1, 2026 is here. Welcome to "Medicare Advantage" like BS for Ohio #Medicaid.
Corporate HMO like healthcare has taken over #Ohio's Medicaid program as Ohio's longstanding Fee-For-Service traditional Medicaid winds down over the next several months..
It's called "The Next Generation MyCare program." It is just like Medicare Advantage plans. There are only a couple commercial plans, and Aetna and UnitedHealth exited Ohio Medicaid on December 31st, 2025
Now, the providers for the state are:
*Anthem Blue Cross and Blue Shield
*Buckeye Health Plan
*CareSource
*Molina HealthCare of Ohio
https://medicaid.ohio.gov/resources-for-providers/special-programs-and-initiatives/mycareohio/mycare-ohio
:PDF: Enrollment whitepaper, "Member Transition Scenarios": https://dam.assets.ohio.gov/image/upload/medicaid.ohio.gov/Providers/EVV/Next_Generation_MyCare_Member_Transition_Scenarios.pdf
#Medicare #Medicaid #Ohio
How Will the Next Generation MyCare Program Roll Out in 2026?
The Next Generation MyCare program will start on January 1, 2026. It will be available in the 29 counties where MyCare Ohio is available today. Later in 2026, it will be available in the rest of Ohio.
Phase 1: Current MyCare Counties
On Jan. 1, 2026, ODM will roll out the Next Generation MyCare program in the 29 counties where MyCare is currently
available today.
Jan. 1, 2026
AAA1: Butler, Warren, Clinton, Hamilton, Clermont
AAA2: Montgomery, Clark, Greene
AAA6: Franklin, Delaware, Union, Madison, Pickaway
AAA4: Lucas, Fulton, Ottawa, Wood
AAA10a: Lorain, Cuyahoga, Medina, Lake, Geauga
AAA10b: Summit, Portage, Stark, Wayne
AAA11: Columbiana, Mahoning, Trumbull
Phase 2: Remaining Counties*
Starting on Apr. 1, 2026, and continuing through the year, ODM will roll out the Next Generation MyCare program in the remaining counties.
Apr. 1, 2026
AAA4: Sandusky, Erie, Henry, Williams, Defiance, Paulding
AAA6: Fayette, Fairfield, Licking
AAA11: Ashtabula
May 1, 2026
AAA2: Preble, Darke, Miami, Shelby, Champaign, Logan
AAA3: Van Wert, Putnam, Hancock, Allen, Mercer, Auglaize, Hardin
AAA5: Seneca, Huron, Wyandot, Crawford, Richland, Ashland, Marion, Morrow, Knox
June 1, 2026 AAA7: Ross, Vinton, Highland, Pike, Jackson, Gallia, Brown, Adams, Scioto, Lawrence
July 1, 2026 AAA9: Holmes, Tuscarawas, Carroll, Jefferson, Coshocton, Harrison, Belmont, Guernsey,
Muskingum
Aug. 1, 2026 AAA8: Hocking, Perry, Morgan, Noble, Monroe, Washington, Athens, Meigs