03/07/2024

ODM Begins Procurement on MyCare “Next Gen”

The Ohio Department of Medicaid (ODM) has officially begun work on the procurement of the Next Generation of MyCare Ohio. In the coming months, ODM will release a request for applications for managed care plans to serve as the MyCare Ohio plans as we transition out of the Financial Alignment Initiative (FAI) demonstration and move toward a Fully Integrated Dual-Eligible Special Needs Plan (FIDE SNP) model.

In order to be authorized to begin operations by the end of the demonstration, plans awarded the contract must notify CMS of their intent to establish a FIDE SNP in Ohio by the fall of this year. The demonstration concludes at the end of calendar year 2025. 

Beginning in January of 2026, the selected FIDE SNPs will begin covering the full Medicare and Medicaid benefits for those who qualify in the current 29 demonstration counties, with statewide expansion as expeditiously as possible.

To read the complete ODM release, please click here.