Effective February 1, 2023, the following eight (8) Managed Care Plans (MCPs) will be operating in Ohio for Medicaid coverage:

For more information on Managed Care Plans (MCPs), click here.

Medicaid Managed Care Eligibility

Most Medicaid consumers are eligible for membership in an Ohio Medicaid managed care plan. Certain Medicaid consumers, however, are excluded from Medicaid managed care membership or are not required to enroll in a Medicaid managed care plan (i.e. membership is voluntary), as noted below:

Consumers who are EXCLUDED from Medicaid managed care membership:

  • Medicaid eligible Individuals on waivers
  • Medicaid eligible Individuals that are institutionalized
  • Individuals eligible for both Medicaid and Medicare
  • Individuals eligible for Medicaid that have a spend-down
  • BCMH children diagnosed with cancer, cystic fibrosis, or hemophilia.  BCMH is defined as the Bureau for Children with Medical Handicaps.

Consumers who are NOT REQUIRED TO ENROLL in a Medicaid managed care plan:

  • Individuals under 19 years of age and are receiving title IV-E federal foster care maintenance
  • Individuals under 19 years of age that are in foster care or other out of home placement.
  • Individuals under 19 years of age that are receiving title IV-E federal adoption assistance
  • Individuals under 19 years of age that receive services through the Bureau for Children With Medical Handicaps (BCMH) at the Department of Health

Additional Medicaid Contacts