Ohio Medicaid: Eligibility and application information

Ohio Medicaid‘s annual managed care open enrollment is happening now! 

Members who want to change their plan can review choices available and select the plan that best fits your healthcare needs. And though Medicaid plans cover medical, vision, dental, and behavioral health services as required by law, each offers value-added extras to keep you healthy and earn your business. 

Taking part in open enrollment lets you learn the differences among each, so you know you’re covered by the health plan that’s best for you.    

If you would like to keep your current managed care plan, you do not have to do anything. If you decide to switch, your new plan will begin covering you on December 1, the first day of the month following your selection. 

While reviewing plans, keep the following in mind:

• Does the plan work with all or most of your doctors?
• Does the plan work with the hospitals you want to use?
• Does the plan offer the extra services you need, such as additional unemployment assistance, access to nutritious foods, education, wellness programs, vision, or dental services?
• Does the plan charge co-pays for dental services, routine eye exams, eyeglasses, mental health, substance use disorder benefits, or non-emergency services provided in a hospital emergency department?

You can explore the managed care plans available and enroll by visiting www.ohiomh.com opens in new window or by contacting the Ohio Medicaid Consumer Hotline at 800-324-8680 (TTY 711). Representatives are available 7 a.m.-8 p.m. Monday through Friday and 8 a.m.-5 p.m. Saturday, Eastern time. They can provide interpreters and answer questions about enrollment and coverage. 

Keep your information current with Ohio Medicaid/Ohio Benefits

Keep your address and full contact information up to date with Ohio Medicaid and/or Ohio Benefits. From time to time, they will send you important health information. They also need your information to make sure you remain eligible for Medicaid benefits. If you don’t keep your information current, your benefits may stop.

To update your information:

• Call the Ohio Medicaid Hotline at 800-324-8680
• Log into your account via Ohio Benefits opens in new window

We designed Humana Healthy Horizons in Ohio to provide you with the care and support you need—so you have more time to focus on what you love.

Humana Healthy Horizons in Ohio is proud to partner with the Ohio Department of Medicaid (ODM) to provide coverage to Ohio residents eligible for Medicaid.

Now more than ever, your health and healthcare coverage are important. Humana Healthy Horizons gives Ohio Medicaid members access to the high-quality healthcare coverage you want and extras you need.

Join the Member and Family Advisory Council to help shape your health plan’s benefits and services. Review the following meeting dates and locations: 

• February 20, 2025: Columbus 
• May 15, 2025: Cleveland 
• August 21, 2025: Cincinnati 
• November 13, 2025: Toledo 

Visit our Member and Family Advisory Council opens in new window  webpage for more details on how to express your interest in joining and participating.

To apply for Medicaid in Ohio:

• Visit the Medicaid Consumer Hotline website opens in new window
• Call the Medicaid Consumer Hotline at 800-324-8680 (TTY: 711), Monday – Friday, 7 a.m. – 8 p.m., and Saturday, 8 a.m. – 5 p.m., Eastern time
• Go to your County Department of Job and Family Services opens in new window

After enrolling in a plan, you will have a certain number of days to try it out. ODM will let you know how long you have. During this trial period, if you want to switch to a different health plan, you can do so–no questions asked. After this trial period, you will remain enrolled in the plan, as long as you are eligible for Medicaid. This is called the “lock-in” period.

ODM will notify you if you are a mandatory Medicaid enrollee required to enroll in a plan. If you do not enroll in a plan, ODM will assign you to a plan.

If you are already enrolled in a plan and want to change to a different plan:

• Call the Medicaid Consumer Hotline at 800-324-8680 (TTY: 711), Monday – Friday, 7 a.m. – 8 p.m., and Saturday, 8 a.m. – 5 p.m., Eastern time
• Visit the Medicaid Consumer Hotline website opens in new window

After November 30, if you want to change to a different plan, you must meet 1 of the following requirements:

• You have been a member of your current plan for 3 months or less, or
• You’re having problems finding the care you need

If you believe you meet 1 of the above requirements:

• Call the Medicaid Consumer Hotline at 800-324-8680 (TTY: 711), Monday – Friday, 7 a.m. – 8 p.m., and Saturday, 8 a.m. – 5 p.m., Eastern time
• Visit the Medicaid Consumer Hotline website opens in new window

If you are no longer eligible for Medicaid, you will be disenrolled from your health plan. You can lose Medicaid eligibility for a number of reasons, such as if your income level changes. We will notify you in writing if you lose your Medicaid eligibility and no longer have coverage through Humana Healthy Horizons in Ohio.

You also can be disenrolled from Humana Healthy Horizons in Ohio if you:

• Abuse or harm health plan members, providers, or staff
• Become eligible for Medicare
• Do not fill out forms honestly or do not give true information (commit fraud)
• Lose your Ohio Medicaid eligibility
• Stay in a nursing home for more than 30 days in a row

If you become ineligible for Ohio Medicaid, all your services may stop. If this happens, call the Medicaid Consumer Hotline at 800-324-8680 (TTY: 711), Monday – Friday, 7 a.m. – 8 p.m., and Saturday, 8 a.m. – 5 p.m., Eastern time.

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