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Humana Healthy Horizons: Ohio Medicaid

Welcome to Humana Healthy Horizons®. With us, you get a Medicaid plan that does more. Like more rewards, more everyday benefits, and more help and support to make your life easier—so you have more time to focus on what you love.

Mother plays with son outside

You can pick flowers.

You can pick your friends.

And you can pick a health plan.

When you first qualify for Medicaid, you may be assigned a health plan, but you don’t have to keep it. You have the right to pick a different health plan and switch to it during the first 90 days of your enrollment.

Pick Humana Healthy Horizons in Ohio. We care about our members’ whole health journey and aim to help them reach their best health.

Helping keep our members in their best health is what human care is all about.

Learn more at Humana.com/HealthyOhio.

Ohio Department of Medicaid Next Generation of Managed Care program

Ohio Department of Medicaid (ODM) designed its Next Generation program to help make sure Medicaid recipients in Ohio get the individualized care they need when they need it.

In 2022, ODM implemented two key phases:

  • On July 1, ODM implemented OhioRISE (Resilience through Integrated Systems)
  • On Oct. 1, ODM implemented the Single Pharmacy Benefit Manager (SPBM)

On Feb. 1, 2023, ODM launched the final phase of the Next Generation Medicaid program.

Learn more about what this final phase included

Need help?

Member ID card updates

Feb. 1: Some members received an ID card at the start of their Humana Healthy Horizons in Ohio enrollment that had a printing error. This error resulted in the Member ID to display as Plan ID and the Plan ID to display as Member ID. We are sending replacement ID cards to affected members. Once you receive the updated card, please destroy the previous version you received.

ODM is committed to ensuring there is no disruption in services for Medicaid members

In 2022, managed care members were given the chance to pick a Next Generation managed care plan, such as Humana Healthy Horizons in Ohio.

If you picked a Next Generation managed care plan, you received coverage through your current managed care plan until Feb. 1, 2023, at which time your enrollment in the plan you picked went into effect.

If you picked a managed care plan that previously covered Ohio Medicaid members, your coverage with your new plan went into effect Dec. 1, 2022.

Apply for Medicaid

Ohio residents newly eligible for Medicaid have 3 ways to apply for Medicaid:

The Humana Healthy Horizons in Ohio difference

Everyone should have a health ally. We’re here to help you work toward your best health.

Humana Healthy Horizons in Ohio provides healthcare services to eligible Ohio residents, including:

  • Individuals who meet income requirements
  • Individuals who are pregnant
  • Infants
  • Children
  • Older adults
  • Individuals with disabilities

With Humana Healthy Horizons in Ohio, you get the coverage you need and more, including access to:

  • Go365 for Humana Healthy Horizons®, a program that rewards you for completing healthy activities
  • Health coaches and programs
  • Specialized care management programs

For Humana Healthy Horizons in Ohio members, all pharmacy services are covered by Gainwell, Ohio Medicaid’s SPBM. Gainwell covers all Medicaid-covered, medically necessary prescription and over-the-counter (OTC) medications.

We do our best to give our members what they need plus things they didn’t even know they needed. We call that human care.

Map of Ohio counties covered by Humana Medicaid

Map of Ohio counties covered by Humana Medicaid

Region 1 (West) counties include:
Adams, Allen, Auglaize, Brown, Butler, Champaign, Clark, Clermont, Clinton, Crawford, Darke, Defiance, Fulton, Greene, Hamilton, Hancock, Hardin, Henry, Highland, Logan, Lucas, Marion, Mercer, Miami, Montgomery, Ottawa, Paulding, Preble, Putnam, Sandusky, Seneca, Shelby, Van Wert, Warren, Williams, Wood, Wyandot

Region 2 (Northeast) counties include:
Ashland, Ashtabula, Carroll, Columbiana, Coshocton, Cuyahoga, Erie, Holmes, Geauga, Harrison, Huron, Jefferson, Knox, Lake, Lorain, Mahoning, Medina, Portage, Richland, Stark, Summit, Trumbull, Tuscarawas, Wayne

Region 3 (Central/Southeast) counties include:
Athens, Belmont, Delaware, Fairfield, Fayette, Franklin, Gallia, Guernsey, Hocking, Jackson, Lawrence, Licking, Madison, Meigs, Monroe, Morgan, Morrow, Muskingum, Noble, Perry, Pickaway, Pike, Ross, Scioto, Union, Vinton, Washington

Region 1 (West):
Adams, Allen, Auglaize, Brown, Butler, Champaign, Clark, Clermont, Clinton, Crawford, Darke, Defiance, Fulton, Greene, Hamilton, Hancock, Hardin, Henry, Highland, Logan, Lucas, Marion, Mercer, Miami, Montgomery, Ottawa, Paulding, Preble, Putnam, Sandusky, Seneca, Shelby, Van Wert, Warren, Williams, Wood, Wyandot

Region 2 (Northeast):
Ashland, Ashtabula, Carroll, Columbiana, Coshocton, Cuyahoga, Erie, Holmes, Geauga, Harrison, Huron, Jefferson, Knox, Lake, Lorain, Mahoning, Medina, Portage, Richland, Stark, Summit, Trumbull, Tuscarawas, Wayne

Region 3 (Central/Southeast) include:
Athens, Belmont, Delaware, Fairfield, Fayette, Franklin, Gallia, Guernsey, Hocking, Jackson, Lawrence, Licking, Madison, Meigs, Monroe, Morgan, Morrow, Muskingum, Noble, Perry, Pickaway, Pike, Ross, Scioto, Union, Vinton, Washington

Looking for help?

Find a doctor

Find a doctor, hospital, or pharmacy.

Value-added benefits

Learn about the extra benefits and services available to Humana Healthy Horizons in Ohio members.

Documents & forms

Find the documents and forms you need, including your Member Handbook.