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MyCare Ohio Update

On May 1, 2014, dually eligible individuals who receive both Medicare and Medicaid insurance benefits began enrolling in a MyCare Ohio managed care plan (MCP). MyCare Ohio plans provide all of the same benefits that Medicare and Medicaid offer, including long-term care and behavioral health services. Enrollment in the MyCare Ohio demonstration started in phases, beginning with Northeast Ohio, and was in effect in 29 Ohio counties on July 1, 2014. As of August 21, 2014, MyCare Ohio plans have enrolled 100,218 beneficiaries.

Dually eligible beneficiaries in Northeast Ohio are required to receive their Medicaid services from one of three MCPs: Buckeye, CareSource or UnitedHealthcare. Joining the MyCare demonstration that includes Medicare services is now optional, and beneficiaries may also voluntarily include Medicare services through their MCP at any time.
However, in October, 2014, the Ohio Department of Medicaid (ODM) will ask MyCare Ohio consumers who are not yet receiving Medicare services through one of the MCPs to communicate their decision about whether to do so. Consumers will be asked to call the Medicaid Hotline at 1-800-324-8680 or to log onto the Ohio Medicaid Consumer Hotline web site (http://www.ohiomh.com/MyCareOhio.aspx) to inform ODM of their decision.
If beneficiaries fail to notify the Ohio Department of Medicaid about their decision in October, they will be passively enrolled into the demonstration for their Medicare services starting January 1, 2015. Regardless, beneficiaries can still choose to opt out of MyCare Ohio for Medicare services at any time.

Please note: Beneficiaries do not have to receive their Medicare benefits from a MyCare Ohio plan. They may choose to continue to receive their Medicare benefits the way they do today. However, their Medicaid benefits will only be available through the MyCare Ohio plan that they have selected.

For more information about MyCare Ohio, you may visit http://medicaid.ohio.gov/PROVIDERS/ManagedCare/IntegratingMedicareandMedicaidBenefits.aspx

Northeast Ohio Consumer Forum - MyCare Ohio Overview

Ohio's Integrated Care Delivery System (ICDS) MyCare Ohio (for HCBS Waiver providers)

For more information about the MyCare Plans in Northeast Ohio, you may contact or visit: