Medicaid Changes in 2026: What Wayne and Holmes County Residents Need to Know About Coverage
If you're on Medicaid in Wayne or Holmes County, Ohio, and you're worried about how possible upcoming changes might affect your therapy or behavioral health services, you're not alone. Changes to Medicaid policies are expected to roll out as early as mid-2026, which could impact your coverage, eligibility, and access to care.
Here's what you need to know and how to make sure you stay connected to the therapy and case management services you need.
Understanding Medicaid Policy Changes
At both the federal and state levels, governments have identified upcoming changes to Medicaid. These Medicaid changes are anticipated to begin in 2026, but there is not currently a specific date to expect the change. Notably, changes aren't affecting everyone the same way, but they are creating confusion for many people who rely on Medicaid for therapy and behavioral health services.
Here's what's shifting:
Federal and state Medicaid rules are changing, and some people might see changes in income guidelines, timelines for renewing coverage, and possible expectations around work requirements. Some people may lose coverage, but not everyone. Be sure to stay on top of paperwork, deadlines, and documentation. Don’t worry, Anazao’s community care workers can help you do that!
For people receiving therapy through Medicaid, these changes could mean:
- More frequent eligibility reviews
- New paperwork or documentation requests
- Potential gaps in coverage if renewals aren't completed on time
- Additional requirements to maintain benefits
The good news? If you understand what's changing and take action early, you can avoid disruptions to your therapy and behavioral health care.
Medicaid Work Requirements Explained: Who It Affects and Who's Exempt
One of the biggest changes Ohio is anticipating are Medicaid work requirements. Under these new rules, some adults on Medicaid may need to work, volunteer, attend school or job training, or report why they're exempt.
But here's what many people don't realize: a lot of people receiving therapy and substance counseling are likely exempt.
You may be exempt from work requirements if you:
- Have a disability (physical or mental)
- Are a caregiver for a child or family member
- Have serious physical or mental health needs
- Are a full-time student
- Are pregnant or recently gave birth
- Are under 18 or older than 65
If you find your behavioral health significantly impacts your ability to function in your daily life, please discuss this with your therapist, you may qualify for an exemption. Your therapist or case manager can help you explore barriers and needs.
What you need to do:
If you receive a letter about work requirements, don't ignore it. Even if you believe you're exempt, you may still need to submit documentation proving your exemption. Missing a deadline could result in losing coverage, including your behavioral health benefits.
How Ohio Medicaid Renewal Changes Affect Your Therapy Access
Ohio is also changing how Medicaid renewals work. In the past, many people stayed enrolled automatically. Now, you're more likely to receive renewal notices requiring action on your part.
What this means for behavioral health clients:
If your Medicaid coverage lapses because you missed a renewal deadline, you could lose covered access to:
- Weekly or monthly therapy sessions
- Psychiatric medications
- Anazao Community Care Worker support
Reapplying after a lapse can take weeks or even months, so it’s important to reapply as soon as you are made aware of the lapse in coverage.
How to avoid a gap in behavioral health coverage:
- Open all mail from Medicaid immediately. Renewal notices often have tight deadlines.
- Update your contact information. Make sure Medicaid has your current address, phone number, and email at https://benefits.ohio.gov.
- Submit paperwork early. Don't wait until the deadline. If you're unsure what's needed, ask for help.
- Keep copies of everything. Take photos of forms you submit or save confirmation numbers.
- Bring information to appointments. Information can be reviewed with your Community Care Worker or our Access & Engagement team. Anazao staff can support you in review and renewal procedures.
Finding Medicaid Behavioral Health Services in Wayne and Holmes County
If you're looking for therapy services covered by Medicaid in Wayne or Holmes County, you have options, but navigating the system can feel overwhelming, especially with new policy changes.
Anazao Community Partners provides Medicaid-covered therapy and case management services in both Wayne and Holmes County. Our team specializes in helping people stay connected to the behavioral health care they need, even when the system feels confusing.
Our community care workers (sometimes called “case managers”) can help you:
- Understand Medicaid letters and deadlines
- Complete renewal paperwork
- Document exemptions for work requirements
- Coordinate care between your therapist, psychiatrist, and primary care doctor
- Connect to other supports like housing, food assistance, or job training
We come to you (at home, at school, or in the community) to make getting help as easy as possible.
What to Do Right Now to Protect Your Therapy Coverage
You don't need to wait for a problem to take action. Here are simple steps you can take today to protect your Medicaid coverage and therapy access:
1. Check your Medicaid status online
Visit https://benefits.ohio.gov to see if you have any pending actions, renewal deadlines, or missing documents.
2. Contact your county Job and Family Services (JFS) office
If you need in-person help or prefer paper applications, find your local office at https://jfs.ohio.gov/wps/portal/gov/jfs/about/local-agencies-directory.
3. Call the Ohio Medicaid Consumer Hotline
For general questions about your benefits or policy changes, call 1-800-324-8680 or visit https://medicaid.ohio.gov.
4. Reach out to Anazao for case management support
If paperwork feels overwhelming or you're not sure what applies to you, contact Anazao. A case manager can sit with you, walk through what needs to be done, and help you avoid gaps in coverage.
5. Talk to your therapist
Let your therapist know if you've received letters about work requirements or renewals. They may be able to provide documentation supporting an exemption or help coordinate with your case manager.
When Medicaid Denies or Stops Your Therapy Coverage
If your Medicaid has been denied or your coverage has been stopped, you have the right to appeal.
Get help immediately:
- Ohio Legal Help: Call 1-866-529-6446 or visit https://www.ohiolegalhelp.org
- Anazao case managers: We can help you understand what happened and connect you to the right resources
Don't assume a denial is final. Many people successfully get their coverage reinstated with the right support.
You Don't Have to Navigate This Alone
Medicaid changes can feel stressful and confusing, especially when you're already managing your behavioral health. But you don't have to figure this out by yourself.
Anazao is here to help people in Wayne and Holmes County stay connected to therapy, understand policy changes, and complete what needs to be done, step by step.
If you're on Medicaid and unsure what the 2026 changes mean for your therapy coverage,
reach out. At Anazao, we are here to help with reliable, compassionate care.
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