About AmeriHealth Caritas Ohio

AmeriHealth Caritas Ohio is a managed care organization that began serving Ohio Medicaid enrollees in February 2023. AmeriHealth Caritas Ohio helps Ohioans get care, stay well, and build healthy communities by addressing the acute and broader social factors that drive health outcomes.

About AmeriHealth Caritas

AmeriHealth Caritas is one of the nation’s leaders in healthcare solutions for those most in need. Operating in 13 states and the District of Columbia, AmeriHealth Caritas serves approximately 5 million Medicaid, Medicare, Children’s Health Insurance Program (CHIP), and Health Insurance Marketplace members through its integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, and behavioral health services. Headquartered in Pennsylvania, AmeriHealth Caritas is a mission-driven organization with more than 40 years of experience serving low-income and chronically ill populations. View information about AmeriHealth Caritas Ohio ownership and control (PDF).

What is Medicaid?

Medicaid is a government program that provides healthcare coverage for low-income adults, children, pregnant women, seniors, people with disabilities, and eligible individuals requiring long-term care.

What is Medicaid managed care?

Many people get their health benefits through managed care, which helps coordinate and manage all your healthcare services. The goal of Medicaid managed care is to reduce overall medical costs and promote better health outcomes.

How can Medicaid managed care help you?

Managed care has many advantages, including:

  • Help to improve access to care and health education for better outcomes.
  • A coordinator who can help you navigate your care plan.
  • Increased focus on creating healthy opportunities, such as better access to food, housing, and education services.

Who is AmeriHealth Caritas Ohio?

AmeriHealth Caritas Ohio is a Medicaid managed care organization that offers managed care services to Medicaid beneficiaries. For more than 40 years, the AmeriHealth Caritas Family of Companies has been delivering Medicaid healthcare solutions to the people who need it most. AmeriHealth Caritas is a national leader and committed partner to helping people get care, stay well, and build healthy communities.

To learn more about our plan, call AmeriHealth Caritas Ohio Member Services at 1-833-764-7700 (TTY 1-833-889-6446), Monday – Friday, 7 a.m. – 8 p.m. ET.

How will AmeriHealth Caritas help Ohio?

At AmeriHealth Caritas Ohio, we proudly focus on whole-person care, connecting eligible members to services, such as:

  • Mission GED: Adult members can get coaching and vouchers to take a high school equivalency exam at no cost.
  • WW* (formerly Weight Watchers) online membership: Members ages 18 – 64 can get a WW membership at no cost for six months.
  • CARE Card: Do things that help you stay healthy. Earn rewards on a reloadable gift card.
  • Continuous glucose monitoring for members with diabetes: AmeriHealth Caritas Ohio is contracted with Pulsewrx to provide members living with diabetes with mobile smartphones. Apps and tools on the phone will support continuous glucose monitoring (CGM) so members with diabetes can have easier control of their blood sugar levels.
  • Living Beyond Pain: This pain management program offers alternative treatment options.
  • Food as Medicine: Qualifying members recently discharged from a hospital or enrolled in our diabetes program, and pregnant and post-delivery members and families can receive home-delivered meals at no cost.
  • Vision care: Members ages 21 – 59 diagnosed with diabetes can get one additional eye exam every 12 months. This is in addition to the standard Medicaid benefit.
  • Dental care: Members 21 and older can get one additional cleaning and exam per calendar year. Some restrictions and limitations apply. This is in addition to the standard Medicaid benefit.
  • Transportation benefit: All members can get unlimited nonemergency trips for provider visits more than 30 miles from their home. Qualifying members can get up to 60 nonemergency one-way trips per year within 30 miles of their home, including unlimited additional trips for chemotherapy, radiation, dialysis, or prenatal and postpartum appointments and for medical services for members who use a wheelchair.
  • Bright Start® program for pregnant members: Members get access to our pregnancy care program to help schedule appointments and connect to community resources and additional programs. Qualified members may receive a Bright Start Beginnings Bundle, which provides essential items for a new baby, including items to support a safe sleep environment and postpartum support.
  • Housing stability flex funding: Access to a housing coordinator to identify local resources for safe and stable housing and up to $750 toward housing-related expenses in emergency situations for pregnant members.
  • School uniforms: Up to $75 per child for school uniforms and school supplies. Contact your Care Guide for information on how to access these funds.

Managed Care Organization Ownership Disclosure (PDF)

* Some restrictions and limitations may apply. Call Member Services at 1-833-764-7700 (TTY 1-833-889-6446), Monday – Friday, 7 a.m. – 8 p.m. ET to learn more.

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