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Medicaid Managed Care Plans

Managed Care Plans and Contact Information


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:

BCMH is defined as the Bureau for Children with Medical Handicaps

 

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

 

*Please note that the current exclusion of children diagnosed with cancer, hemophilia, and cystic fibrosis that are enrolled will end as of 6/30/2014. Effective 7/1/2014, families of these BCMH children will have the ability to choose managed care if they feel it is in the best interest of their child.

 

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


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

Effective July 1, 2013, five (5) Managed Care Plans (MCPs) will be operating in Ohio for Medicaid coverage.  For more detailed explanations of these  programs, visit:

Additional Medicaid Contacts:

Ohio Medicaid Hotline/Managed Care Enrollment Center: (800) 324-8680 or (800) 292-3572 (TTY)                                        

Provider Assistance: (800) 686-1516

Stark County Commissioners Executive Director
Stark County Job & Family Services
221 3rd St SE
Canton, OH, US 44702
Nic
888-698-6893
330-452-4661
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