UnitedHealthcare Connected® for MyCare Ohio (Medicare-Medicaid Plan) How To Enroll

If you believe that you meet any of the above criteria and should not be enrolled, please contact Member Services at 1-877-542-9236 (TTY 711), or you can also contact the Medicaid Hotline at 1-800-324-8680, TTY users should call Ohio Relay at 7-1-1, or on the managed care enrollment center (MCEC) website at www.ohiomh.com.

Applicants can ask an authorized representative to apply on their behalf using the forms below:

• Medicare Authorized Representative Form
• Medicare Form to Share Information
• OHIO Authorized Representative Form
• HIPAA Authorization Form

To file an Appeal or Grievance, please visit or FAQ section.