MedicaidAdministrativeMedium impact
5160-58-02.1 - MyCare Ohio plans: termination of enrollment. (Amend/Final File)
Ohio Medicaid·OH·Enrollment
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid has updated Rule 5160-58-02.1 regarding termination of enrollment for MyCare Ohio plans, effective January 1, 2026. This administrative update modifies the procedures and criteria for when members can be terminated from MyCare Ohio managed care plans.
Action Required
By January 1, 2026: Billing team should review updated MyCare Ohio enrollment termination procedures to understand when patients may lose coverage. Verify patient eligibility more frequently for MyCare Ohio members and establish workflow to handle coverage termination scenarios. Contact Ohio Department of Medicaid at 614-752-3877 for specific implementation guidance.