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AmeriHealth Caritas Ohio

The Ohio Department of Medicaid (ODM) administers a full-risk managed care program, Covered Families and Children (CFC), that includes primary and acute physical health, pharmacy, behavioral health, and dental benefits.

AmeriHealth Caritas Ohio intends to respond to the upcoming statewide request for proposal (RFP) for managed care organizations (MCOs) and hopes to be selected by ODM to serve CFC beneficiaries.

To meet that goal, we are currently developing a network of hospital, physician, ancillary, behavioral health care, and dental providers. We want to partner with dedicated providers like you.

 

Why join AmeriHealth Caritas Ohio?

For more than 35 years, we have led the nation in bringing care to those most in need through partnerships with providers like you. We offer:

  • Integrated health care management. We offer a person-centered approach to care. Our comprehensive care management program includes an individualized plan of care to coordinate the delivery of physical and behavioral health services and to help meet social and environmental support needs.
  • Disease management and healthy behaviors programs. We support your care for our members through programs that address physical health conditions such as obesity, diabetes, heart disease, and asthma. We encourage members to actively participate in improving and maintaining their health, and we reward them for practicing healthy behaviors.
  • Behavioral health resources and support. We recognize that physical health is just one part of wellness. That is why we integrate behavioral health services and administer them directly. We offer tools and training to help providers screen for behavioral health conditions, such as depression and substance use disorder.
  • Partnership with the community. We are committed to partnering with providers to deliver the care members need. In addition to serving physical and behavioral health needs, we help members find food, housing, and employment. We collaborate with existing community organizations to connect members with the help they need.
  • Local presence. We know that health care is personal. Our presence is local — with national support. Reinforced by our strong national infrastructure, we plan to staff our Ohio health plan with local professionals who know the community because they already live and work there. Your Provider Network Management Account Executive will visit your office and know you by name.
  • E-solutions. We support your practice with technology to simplify administration, from claims submission to patient health management. We are committed to working with you to care for members and improve health outcomes, and we offer educational opportunities and frequent communication about top health care concerns.

Join us, and together we can improve the lives of Medicaid enrollees in CFC.

See more top reasons providers like you are joining our team (PDF).

Join AmeriHealth Caritas Ohio today

To request a Provider Agreement, please complete a Provider Contract Inquiry Form (PDF) and return by email to providerrecruitmentoh@amerihealthcaritas.com.

Contact us by phone at 1-844-399-0471.

Required documentation

Please complete and return the appropriate data intake form to start the contracting process with AmeriHealth Caritas Ohio.

Send us your completed forms through the method most convenient to you:

Want to learn more? Our Introduction for Ohio Providers (PDF) includes:

  • A more in-depth look at the advantages of joining our growing provider network.
  • Expanded explanations of our programs and services.
  • Ways you can contact us.