Ohio Capitated Financial Alignment Model Demonstration (MyCare Ohio)



09/03/2021: CMS released the latest Quality Withhold Analysis Results for OH MMPs. More information can be found below.


Key Dates

December 11, 2012 - CMS and Ohio sign MOU

February 11, 2014 - CMS, Ohio and participating plans execute three-way contract

May 1, 2014 - Start of opt-in enrollment

January 1, 2015 - Scheduled start of passive enrollment

July 1, 2019 - CMS, Ohio and participating plans execute updated three-way contract

February 1, 2020 - CMS, Ohio and participating plans execute updated three-way contract amendment

MyCare Ohio Model

On December 11, 2012, the Centers for Medicare & Medicaid Services (CMS) announced that the State of Ohio will partner with CMS to test a new model for providing Medicare-Medicaid enrollees with a more coordinated, person-centered care experience.

Under the demonstration, Ohio and CMS will contract with health plans that will coordinate the delivery of and be accountable for all covered Medicare and Medicaid services for participating Medicare-Medicaid enrollees. 

More information from CMS:

Information for Plans:

Information for Beneficiaries and Providers:

Information from the State of Ohio:

Funding Support:

Want regular email updates? Sign up by visiting this link.
We’re always looking for ways to improve the experience and usability of our webpages. If you’ve Feedback or issues to report, please contact us at MMCOWeb@cms.hhs.gov.
Page Last Modified:
10/18/2021 12:53 PM