Next Generation MyCare
The Ohio Department of Medicaid implemented the Next Generation MyCare program on January 1, 2026. Next Generation MyCare is for Ohioans enrolled in Medicare and Medicaid. The program includes medical care, long-term care, behavioral health, waiver service coordination, and care coordination.
Overview
Next Generation MyCare is available in the 29 counties where the previous MyCare Ohio program was offered, and it will begin rolling out to all remaining Ohio counties on April 1, 2026.
Area Agencies on Aging coordinate in-home waiver services for the Next Generation MyCare Ohio program, which include personal care, transportation, home-delivered meals, homemaking, and more. COAAA currently serves as the waiver service coordination agency for the Next Generation MyCare program in five Central Ohio counties – Delaware, Franklin, Madison, Pickaway, and Union, and will cover the remaining counties in COAAA’s region after April: Fairfield, Fayette, and Licking.
COAAA coordinates these services for managed care organizations, also known as MCOs, and MCOs are the payer of MyCare services. The MCOs for COAAA’s region are Anthem Blue Cross and Blue Shield, CareSource, and Molina Healthcare, with Buckeye Health Plan coming on in 2027.
Information for Members
- Anthem Blue Cross and Blue Shield
833-727-2169 - CareSource
855-475-3163 - Molina HealthCare of Ohio
866-856-8295
Coming in 2027
Information for Providers
What do I need to do to provide services in the Next Generation MyCare program?
To become a waiver provider in the Next Generation MyCare program you must:
- Enroll with ODM by visiting the Medicaid Provider Network Management Portal and completing the online application. For each waiver service to be rendered, providers must obtain and maintain either:
- Ohio Department of Aging (AGE) certification through the Provider Certification Wizard;
or - ODM approval through PNM.
- Ohio Department of Aging (AGE) certification through the Provider Certification Wizard;
- Contract with the Next Generation MyCare plans by contacting each of the plans you wish to contract with.
Refer to the Credentialing Guide and Requirements Document or Certification Information | Department of Aging for more information on the contracting process.