EAST CENTRAL

Ashland
Carrol
Holmes
Portage
Richland
Stark
Summit
Tuscarawas
Wayne

SOUTH WEST

Adams
Brown
Butler
Clermont
Clinton
Hamilton
Highland
Warren

WEST CENTRAL

Champaigne
Clark
Darke
Greene
Miami
Montgomery
Preble
Shelby

CENTRAL

Crawford
Delaware
Fairfield
Fayette
Franklin
Hocking
Knox
Licking
Logan
Madison
Marion
Morrow
Perry
Pickaway
Pike
Ross
Scioto
Union

NORTH EAST

Ashtabula
Cuyahoga
Erie
Geauga
Huron
Lake
Lorain
Medina

N. EAST CENTRAL

Columbiana
Mahoning
Trumbull

NORTH WEST

Allen
Auglaize
Defiance
Fulton
Hancock
Hardin
Henry
Lucas
Mercer
Ottawa
Paulding
Putnam
Sandusky
Seneca
Van Wert
Williams
Wood
Wyandot

SOUTH EAST

Athens
Belmont
Coshocton
Gallia
Guernsey
Harrison
Jackson
Jefferson
Lawrence
Meigs
Monroe
Morgan
Muskingum
Noble
Vinton
Washington

 


NORTH WEST REGION

You live in NORTH WEST REGION!

This means that the managed care plans (MCPs), the hospitals that contract with them, and the extra services and benefits the MCPs offer that are described here are available to eligible individuals residing in the following counties:

 

Allen Auglaize DefianceFulton Hancock

Hardin Henry Lucas Mercer Ottawa Paulding Putnam Sandusky Seneca Van Wert Williams Wood Wyandot

Eligible individuals include you and/or members of your family who receive health care benefits through the Ohio Medicaid Covered Families and Children or Healthy Start programs.

 

Please take the time to read all the information about the MCPs available to you. This information can help you choose the MCP that is best for you and your family. To learn about the doctors that are part of the plan or to ask questions about the MCP, you can call (toll-free) the Member Services line for each plan listed below.

 

Also Please Take a moment to read this important Consumer Guide, which will provide you with a deeper understanding of Managed Care.

 

MCP-Specific Member Services Numbers

 

MCP Contracting Hospitals in North West Region

 

Additional Services and Extra Benefits

 

Transportation

 

Questions to ask when Choosing your Managed Care Plan

 

Open Enrollment

As a member of a Medicaid managed care plan, you have the option to change the plan that you have selected within the first three months of your membership or annually, thereafter, during your region's open enrollment month, which is September.

 

MCP-Specific Member Services Numbers

 

Buckeye Community Health Plan

Paramount Advantage

1-866-246-4358

1-800-462-3589

(TTY) 1-800-750-0750

(TTY) 419-887-2526 or

Toll-free 1-888-740-4570

Monday – Friday
7:00 am – 7:00 pm

Monday – Friday
7:00 am – 7:00 pm

 

You also can call Managed Care Enrollment Center toll-free at 1-800-605-3040,

or if you are hearing impaired (TTY) 1-800-292-3572
Monday – Friday 8:00 AM to 8:00 pm.

 

An enrollment counselor can answer your questions and discuss your options.
You can even make your choice right over the phone.

En Espanol 1-800-605-3040

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MCP-Contracting Hospitals in NORTH WEST REGION

 

MCPs may have more hospitals in other counties on their provider panel. Please contact the MCP's toll-free number for a current list of all panel hospitals in your area. Remember that doctors can only perform surgeries or deliver babies at certain hospitals, so be sure to ask your doctor which hospital he/she can send you to.

 

Buckeye Community Health Plan

Paramount Advantage

1-866-246-4358

(TTY) 1-800-750-0750

1-800-462-3589

(TTY) 419-887-2526 or

Toll-free 1-888-740-4570

Allen County

Blanchard Valley Regional Health

Lima Memorial Hospital

SCCI Hospital Lima

St Rita's Medical Center

Auglaize County
St Mary's Joint Township District Memorial

Defiance County

Defiance Regional Medical Center

Community Memorial Hospital

Mercy Hospital of Defiance

Fulton County
Community Hospital and Wellness Center Archbold Hospital

Fulton County Health Center

Hancock County
Blanchard Valley Regional Health Center Findlay Campus

Henry County
Henry County Hospital

Hardin County
Hardin Memorial Hospital

Lucas County
Mercy Children's Hospital
St Anne Mercy Hospital
St Charles Mercy Hospital
St Luke's Hospital
St Vincent Mercy Medical Center

Mercer County
Mercer County Joint Township Community Hospital

Paulding County
Paulding County Hospital

Sandusky County
Bellevue Hospital

Memorial Hospital

Seneca County
Mercy Hospital of Tiffin
Fostoria Community Hospital

Van Wert County
Van Wert County Hospital

Williams County
Community Hospitals and Wellness Center Bryan Hospital

Community Hospitals and Wellness Center Montpelier Hospital

Wood County
Wood County Hospital

Wyandot County
Wyandot Memorial Hospital

 

OUT OF REGION HOSPITAL

Erie County
Firelands Regional Medical Center Main Campus

Allen County
Lima Memorial Hospital

St Rita's Medical Center

Auglaize County
St Mary's Joint Township District Memorial

Defiance County
Community Memorial Hospital

Defiance Regional Medical Center

Fulton County
Community Hospital and Wellness Center Archbold Hospital

Fulton County Health Center

Hancock County
Blanchard Valley Regional Health

Henry County
Henry County Hospital

Hardin County
Hardin Memorial Hospital

Lucas County
Bay Park Community Hospital
Flower Hospital

Medical College of Ohio Hospital

Toldedo Children's Hospital
Toldedo Hospital

Mercer County
Mercer County Joint Township Community Hospital

Ottawa County
HB Magruder Memorial Hospital

Paulding County
Paulding County Hospital

Sandusky County
Bellevue Hospital

Memorial Hospital

Seneca County
Fostoria Community Hospital

Van Wert County
Van Wert County Hospital

Williams County
Community Hospitals and Wellness Center Bryan Hospital

Community Hospitals and Wellness Center Montpelier Hospital

Wood County
Wood County Hospital

Wyandot County
Wyandot Memorial Hospital

 

OUT OF REGION HOSPITAL

Erie County
Firelands Regional Medical Center Main Campus


 

Additional Services and Extra Benefits

 

Some MCPs provide more services than the regular Medicaid fee-for-service (FFS) program offers. To request a full list of additional services offered by an MCP, please call the MCP's toll-free number.

 

Health Care Plan

Annual Eye Exams for Adults*

Gift Certificates for Obtaining Prenatal Care

Gifts/Gift Certificates for Getting Immunizations and/or Keeping Healthchek Appointments

Buckeye Community Health Plan

YES

YES

NO

Paramount Advantage

NO

YES

NO

* All MCPs provide annual eye exams for children.

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Transportation

 

Some MCPs offer transportation assistance in addition to what may be available through your local CDJFS. You must contact the MCP’s Member Services to arrange for transportation.

 

Health Care Plan

Cab Fare/ Shuttle Service

Must Call MCP in Advances

Buckeye Community Health Plan

15 round-trips per 12 month period to any health care, dental, WIC or CDJFS re-determination appointment

48 Hours

Paramount Advantage

30 one-way trips per member per 12 month period to or from any health care, WIC or CDJFS re-determination appointment

48 hours

(2 business days)

 

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Questions to Ask when choosing Your Managed Care Plan..

    To help you choose the Managed Care Plan or MCP that is right for you, think about the following questions while also reading the information included in this mailing.

    After you have considered the questions below, call the Ohio Medicaid Managed Care Managed Care Enrollment Center (MCEC) at 1-800-605-3040 to speak to an Enrollment Counselor or visit them on-line at www.ohiomcec.com. The MCEC will answer any questions you have and help you select the Managed Care Plan of your choice.

     

  • Do you or any family member have a doctor that you want to deliver your care?

  • Do you or any family member have a health problem, which needs treatment by a specific type of doctor or specialist?

  • Do you have a hospital that you would like to deliver your care?

  • Are you or any family member pregnant and wanting to be under the care of a specific doctor?

  • Do you or any member of your family need help with transportation to the doctor?

  • Remember, when you receive a notice in the mail that tells you it is time to choose your managed care plan (MCP), simply call the Managed Care Enrollment Center at the toll-free number below to choose your MCP. If YOU do not choose, an MCP will be chosen for you.

     

    For Help in answering your questions…
    Call 1-800-605-3040 to speak to an Enrollment Counselor or visit us on-line at www.ohiomcec.com

En Español: 1-800-605-3040

 

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Ohio Managed Care Enrollment Center

 

Call to speak with an Enrollment Counselor
Monday - Friday
8:00 a.m. to 8:00 p.m.
(800) 605-3040

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