MyCare Ohio

Are you and your company ready for

MyCare Ohio?

The INTEGRATED CARE DELIVERY SYSTEM (ICDS) is a system of managed care plans selected to coordinate physical, behavioral, and long-term care services for individuals over the age of 18 who are eligible for both Medicaid and Medicare. This includes people with disabilities, older adults, and individuals who receive behavioral health services. Ohio’s ICDS is called “MyCare Ohio.”

A TEAM APPROACH TO CARE COORDINATION: The MyCare Ohio approach is centered on the individual to effectively coordinate their care based on their specific needs. This care team includes: the individual, the individual’s family/caregiver, the MyCare Ohio plan care manager, the waiver service coordinator (if appropriate), the primary care provider, specialists, and other providers as applicable.

MYCARE OHIO PLANS: Ohio selected five managed care plans, through a competitive process, to comprehensively manage the full spectrum of Medicaid and Medicare benefits.

COMBINED BENEFIT PACKAGE: The benefit package includes all benefits available through the traditional Medicare and Medicaid programs, including long-term care services and supports and behavioral health services. In addition, MyCare Ohio managed care plans may elect to include additional services in their benefit packages.

 

MyCare Ohio Program Resources
Click the links below to see all of the information you need to know about MyCare Ohio including how it will affect your organization.

MyCare Ohio Overview

MyCare Ohio Enrollment Form

MyCare Ohio Health Plans Part B

MyCare Ohio Region Map

MyCare Ohio FAQs Skilled Nursing Facility

MyCare Ohio Plan Payment Requirements

Ohio Medicaid Consumer Hotline

The Academy of Senior Health Sciences, Inc.

Aetna MyCare Ohio Overview

Aetna Grid of Authorizations

Buckeye MyCare Ohio Quick Reference Guide

Buckeye Draft Bad Debt Policy

CareSource MyCare Ohio User Guide

CareSource MyCare Ohio Quick Reference Guide

CareSource MyCare Ohio Additional Information

Molina MyCare Ohio Training

United Healthcare MyCare Overview

United HealthcareTraining Site

United Healthcare Claims Submission

 

MyCare Ohio Provider Manuals

Aetna Better Health of Ohio Manual

CareSource

Molina Provider Manuals

United Health Care MyCare Ohio Provider Manual

 

MyCare Ohio plans currently are contracting with long-term and post-acute providers in their regions to gear up for the program's launch. If you are interested in contracting, the following list shows the main contracting contacts by plan:

Click here for the provider sheet




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