MyCare Ohio Updates - enrollment changes and upcoming education events

Wednesday, February 12, 2014

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There’s a lot of news to report regarding MyCare Ohio, the state’s new managed care program for people who are eligible for both Medicare and Medicaid.  An estimated 20,000 individuals will be affected by MyCare Ohio in southwest Ohio. 

Changes to MyCare Ohio enrollment timeline

Eligible residents of Butler, Clermont, Clinton, Hamilton and Warren counties will begin enrolling in the Medicaid portion of MyCare Ohio on June 1, 2014.  Previously, the mandatory enrollment date was May 1.  Those required to enroll in the program received a notification letter from the state in late December 2013.

Enrollment is mandatory for the Medicaid portion of the program. Enrollees may select a health plan to deliver their MyCare Ohio services from two choices: Aetna Better Health of Ohio or Molina Healthcare.  The state will choose a plan for those who do not select one themselves.   Anyone dissatisfied with that choice, can change it that by calling the Ohio Medicaid Consumer Hotline at 800-324-8680.

Under the new enrollment timeline, people enrolled in the Medicaid portion of MyCare Ohio will have eight months (through December 2014) to decide which Medicare plan best suits their health care needs.  That may be Aetna or Molina, or a person may choose to continue to use “traditional” Medicare (fee-for-service) or a Medicare Advantage Plan. Those who choose Aetna or Molina will have coordination and one main point of contact for all their health care, long-term care, and behavioral health services.

Beginning in January, 2015, individuals who have not yet selected a Medicare plan will be automatically enrolled in one of the MyCare Ohio plans (Aetna or Molina) to ensure the full coordination of their care.

MyCare Ohio is designed to coordinate people’s services for health care, long-term care, and behavioral health.  The goals are to reduce costs and improve health outcomes by providing people with the right services in the right settings at the right times.

For more information about MyCare Ohio and the enrollment process, click here.

Upcoming MyCare Ohio education events for consumers and providers

Consumer Education Forum
Council on Aging and the Center for Independent Living Options (CILO) will present an education forum about MyCare Ohio on March 20. The event is designed to inform consumers, caregiver and advocates about important changes in how certain Ohioans will receive health care and other services.  Those who attend will also have an opportunity for one-on-one assistance.

The forum will be held from 9 a.m. to 11:30 a.m. on Thursday, March 20 at the Cincinnati Chapter of the American Red Cross, 2111 Dana Ave, Cincinnati, 45207.

Because seating is limited, registration is encouraged, but not required. Register online or call COA at 721-1025 or CILO at 241-2600.

The March 20 event will explain:

  • How MyCare Ohio will deliver health care, long-term care and behavioral health services to individuals who are covered by BOTH Medicare and Medicaid
  • Requirements to select a health plan under MyCare Ohio
  • Timeline – what will happen, when
  • Where to get more information and help

After the presentations and Q & A, an expert from Council on Aging will be available for one-on-one assistance.

The event will include representatives from the Ohio Department of Medicaid, Council on Aging, Center for Independent Living Options, Aetna Better Health of Ohio, Molina Healthcare, and the Ohio Consumer Voice for Integrated Care.

Provider Brown Bag Lunch Session
Council on Aging and the Center for Independent Living Options will present information about MyCare Ohio as part of CILO’s regular Brown Bag Lunch Series for providers.  The session will be held at CILO, 2031 Auburn Avenue, at 12pm on Tuesday, February 18.

Service coordinators and others who work with the MyCare Ohio population are encouraged to attend to learn how they can help consumers understand the changes and get any additional help they need.

Presenters are Kierin Fleming, Aging and Disability Resource Specialist for Council on Aging, and Kat Lyons, Advocacy Coordinator for the Center for Independent Living Options.

Space is limited. Please RSVP to Khadine Kelly at