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MyCare Ohio, Explained

A managed care program for Ohioans eligible for both Medicare and Medicaid, currently mid-restructuring.

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Short answer

A managed care program for Ohioans eligible for both Medicare and Medicaid that coordinates medical care, behavioral health, and long-term services and supports, including nursing facility and waiver services, through a single managed care plan.

Who it is for

MyCare Ohio serves people eligible for both Medicare and Medicaid, coordinating medical care, behavioral health, and long-term services and supports, including nursing facility and waiver services, through a single managed care plan.

Coverage area: MyCare Ohio's Northeast Ohio region covers all of Cuyahoga, Lake, Lorain, Medina, and Geauga counties, plus Summit and Portage counties, matching this site's full 7-county service area.
This program is actively changing. As of mid-2026, Ohio Medicaid was in the middle of a restructuring called Next Generation MyCare, with a first phase of counties transitioning effective January 1, 2026. Confirm current plan and county status directly with the Ohio Department of Medicaid before relying on program details, since this program is actively changing.

Source: Ohio Department of Medicaid: MyCare Ohio

How Cleveland families pay for care. Medicare does not cover assisted living. Ohio's long-term supports run through the Assisted Living Waiver, PASSPORT, and MyCare Ohio for dual-eligibles, none of which cover room and board in assisted living. Read the full explanation →

Questions Cleveland families ask

What does long-term care insurance typically cover for a senior in Ohio?

Long-term care insurance policies vary by contract, but most cover some combination of nursing home care, assisted living, home care, and adult day care up to a daily or monthly benefit cap and a lifetime maximum, after an elimination period. Ohio does not regulate benefit levels directly; what a specific policy pays depends entirely on its own terms, so families should review the actual policy document rather than assume standard coverage.

How does the cost of in-home care in Ohio compare to moving to a facility?

According to the 2025 CareScout survey, a non-medical caregiver in Ohio runs about $34 an hour, while assisted living runs a median of $6,103 a month. At roughly 20 hours a week, hourly in-home care can cost less than assisted living, but full-time round-the-clock in-home care quickly exceeds facility costs since hourly rates add up fast across 24-hour coverage.

What does Ohio's Long-Term Care Ombudsman do, and who covers Cuyahoga County?

Ohio's Long-Term Care Ombudsman Program advocates for residents of nursing homes and residential care facilities, investigating complaints about care quality, residents' rights, improper transfer or discharge, restraint use, and abuse or neglect, free, confidential, and only with resident consent. Cuyahoga County falls under Region 10A, Eastern Lakefront, served by the Long-Term Care Ombudsman of Cleveland (LTCO) at 1-800-365-3112, which also covers Geauga, Lake, Lorain, and Medina counties.

What should I do if an assisted living facility in Cleveland won't resolve my complaint?

If direct conversation with facility management doesn't resolve a concern, escalate to the Region 10A Long-Term Care Ombudsman (1-800-365-3112) for advocacy and mediation, or file a formal complaint with the Ohio Department of Health at 1-800-342-0553 if the issue involves possible abuse, neglect, or a licensing violation. These paths can run in parallel; an ombudsman advocacy effort doesn't preclude also filing an ODH complaint.

What does the Western Reserve Area Agency on Aging actually do for families?

The Western Reserve Area Agency on Aging (WRAAA) covers Cuyahoga, Geauga, Lake, Lorain, and Medina counties, offering benefits counseling, care coordination, funding for congregate and home-delivered meals, caregiver support, long-term care options counseling, and administration of the Region 10A Long-Term Care Ombudsman program. It does not cover Summit or Portage counties, which fall under a different agency, Direction Home Akron Canton.

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