In Ohio, most individuals who have Medicaid must join a managed care plan to receive their health care. Managed care plans are health insurance companies that are licensed by the Ohio Department of Insurance and have a provider agreement with the Ohio Department of Medicaid to provide coordinated health care to Medicaid beneficiaries. These managed care plans work with hospitals, doctors and other health care providers to coordinate care and to provide the health care services that are available with an Ohio Medicaid card.
Once you are approved for Medicaid, you will receive information in the mail to help you select a managed care plan. Visit or call the Consumer Hotline to find out which plans are available in your area. Below are the links to the five managed care plans for more information. If you don’t choose a plan, we will choose one for you. You will have the opportunity to change managed care plans during open enrollment each November.
For more detailed explanations of these programs, visit:
- Buckeye Community Health Plan: (866) 246-4358
- CareSource: (800) 488-0134
- Molina Healthcare of Ohio: 1-800-642-4168
- Paramount Advantage: 1-800-462-3589
- United Healthcare: 1-800-895-2017
Managed Care plans act just like regular health insurance. Once you are enrolled in a managed care plan, you should receive a new card in the mail. Here's what they look like.
Individuals excluded from Managed Care plans include:
- Medicaid eligible individuals on home and community based waivers
- Medicaid eligible individuals who are institutionalized
- Individuals eligible for both Medicaid and Medicare
- Individuals eligible for Medicaid who have a spend-down
- BCMH (Bureau for Children with Medical Handicaps) children diagnosed with cancer, cystic fibrosis, or hemophilia