Ohio Department of Medicaid

The advisory workgroup session provided an update on the Next Generation MyCare program, including rollout schedules across Ohio counties and plan information. Key discussion topics included steps for members to prepare for the program, such as plan selection and benefit reviews, and guidance for providers regarding contracting and claim submission processes. Additionally, the group outlined upcoming community visit sessions scheduled for 2026 and discussed available support resources and help desks for both members and providers.

The workgroup meeting focused on providing an overview of the Next Generation MyCare program. Topics included a comparison of MyCare plans, delegation strategies for Area Agencies on Aging, and available feedback channels for members and providers. The presentation highlighted recent community visit findings, the member appeals and grievance process, provider claim dispute and prior authorization denial processes, and the utilization of Consumer Assessment of Healthcare Providers and Systems (CAHPS) surveys. Additionally, upcoming webinars for members and providers were outlined.

The workgroup meeting focused on the roll-out of the Next Generation MyCare program, providing an overview of the program's timeline and the selection of participating health plans. Key discussion topics included member impacts, such as plan eligibility and transition requirements, as well as provider-related information covering enrollment, contracting, and claim submission processes. Additionally, the meeting outlined various help desk resources available to both members and providers to assist with the program transition and addressed next steps for ongoing stakeholder communication.

The workgroup meeting focused on updates regarding the Next Generation MyCare Provider Agreement. Key discussion topics included new provisions for non-emergency medical transportation, specifically addressing member access, vehicle accessibility, and timeliness standards. Additionally, the group reviewed network adequacy standards for home-based long-term support services, including time, distance, and service delivery wait times. Other agenda items covered prompt payment standards and the implementation of enhanced support for independent home and community-based services providers. The session concluded with an interactive feedback discussion on transportation and service experiences.

The meeting focused on the upcoming launch of the Next Generation MyCare program. Key discussion topics included enrollment scenarios for both current MyCare members and those in exiting plans, the phased roll-out schedule for the program across various Ohio counties, and an overview of communications channels and approaches. The workgroup also reviewed feedback received from a recent community visit, previews of exiting plan notification letters, and the template for the new MyCare member ID cards.