What changed from the old MyCare Ohio
| Original MyCare Ohio (2014–2025) | Next Generation MyCare Ohio (2026 on) | |
|---|---|---|
| Counties | 29 | All 88 since August 1, 2026 |
| Minimum age | 18 | 21 |
| Medicare side | A Medicare-Medicaid plan under a federal demonstration | A fully integrated dual eligible special needs plan (FIDE SNP) with exclusively aligned enrollment |
| Home care waivers | MyCare Ohio Waiver in MyCare counties | MyCare Ohio Waiver statewide; PASSPORT, Assisted Living and Ohio Home Care members who join MyCare move to it |
The Ohio Department of Medicaid (ODM) says the redesign focuses on the individual, better transportation, more in-home providers and shorter waits for prior authorization. Plans partner with Ohio's area agencies on aging, which is why the rollout followed their regions.
Rollout timeline
- January 1, 2026: the 29 original MyCare counties.
- April 1 to August 1, 2026: the other 59 counties in five waves by area agency on aging region.
- Since August 1, 2026: statewide.
The county-by-county dates are on Is MyCare Ohio available in my county?
How Medicare works in Next Generation MyCare
ODM's contract requires every MyCare plan to run a FIDE SNP for its members' Medicare through December 31, 2028. If you choose your MyCare plan for Medicare, one organization covers both programs. You can still keep Original Medicare or another Medicare plan and use MyCare only for Medicaid. ODM's contract also bars MyCare companies from offering coordination-only D-SNPs to people with full Medicaid, and CMS's 2027 data shows the only D-SNPs left in Ohio are the MyCare organizations' plans. See D-SNPs in Ohio.
To compare your Medicare options, including Original Medicare with a Part D plan, you can request a call from a licensed insurance agent.
Related questions
What is MyCare Ohio?
Who is enrolled and what it covers.
Is MyCare Ohio available in my county?
Start dates by county.
What is the PASSPORT waiver in Ohio?
Home care and the MyCare Ohio Waiver.
Sources
- Ohio Department of Medicaid — Next Generation MyCare Member Frequently Asked Questions (April 2026)
- Ohio Department of Medicaid — Next Generation MyCare program rollout
- Ohio Administrative Code — Rule 5160-58-02, MyCare Ohio eligibility (eff. Jan. 1, 2026)
- Ohio Department of Medicaid — Next Generation MyCare Provider Agreement (2027)
More questions in this guide
- Can I have Ohio Medicaid and Medicare at the same time?
- Does Ohio Medicaid pay for nursing home care?
- Does Ohio Medicaid take your house after you die?
- Is MyCare Ohio available in my county?
- What is the difference between Medicare and Medicaid in Ohio?
- What is a dual eligible special needs plan in Ohio?
- What is a qualified income trust (Miller trust) in Ohio?
- What is MyCare Ohio?
- What is the PASSPORT waiver in Ohio?
Part of the guide: Ohio Medicaid and Medicare together · All questions
Frequently asked questions
Do I need to do anything because MyCare changed?
Watch your mail for letters from the Ohio Department of Medicaid and your plan, which name your plan and its start date. Use your new member ID card. If you want a different plan or want your Medicare in the same plan, call the Ohio Medicaid Consumer Hotline at 1-800-324-8680.
Is Next Generation MyCare a Medicare Advantage plan?
Its Medicare side is. Each MyCare plan offers a fully integrated dual eligible special needs plan, a type of Medicare Advantage plan, for members who choose it for Medicare. The Medicaid side is Ohio Medicaid managed care.
Can I keep my doctor in Next Generation MyCare?
Plans provide transition-of-care coverage for doctors and pharmacies at first. After that, you need to use doctors in your plan's network for MyCare services. Check the provider search at ohiomh.com.
Medicare in your Ohio county
Plans, local agents and help, county by county: Franklin · Cuyahoga · Hamilton · Summit · Montgomery · Lucas · Butler · Stark · Lorain · Warren · Delaware · Lake · Mahoning · Clermont · Trumbull · Licking · Medina · Greene · Fairfield · Portage · All 88 counties →
