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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.
![](/communityplan/ohio/plans/medicaid/connected/_jcr_content/root/responsivegrid/container/section/grid/column/iparsys/iparsys/image.coreimg.png/1711741038774/oh-connected-logo.png)
Learn More
UnitedHealthcare Connected® for MyCare Ohio (Medicare-Medicaid Plan) H2531-001-000