Medicaid Changes in 2026: What Wayne and Holmes County Residents Need to Know About Coverage
February 6, 2026

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:

  1. Open all mail from Medicaid immediately. Renewal notices often have tight deadlines.
  2. Update your contact information. Make sure Medicaid has your current address, phone number, and email at https://benefits.ohio.gov.
  3. Submit paperwork early. Don't wait until the deadline. If you're unsure what's needed, ask for help.
  4. Keep copies of everything. Take photos of forms you submit or save confirmation numbers.
  5. 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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February 13, 2026
Seasonal Depression in Ohio: How Movement Helps During Long Winters When November hits Ohio and the gray skies don't leave until March, life hits differently. The days are shorter. It's too cold to go outside. And if you're already dealing with a lot, winter can make everything feel ten times harder. Seasonal depression is real, and it affects thousands of people in Ohio every year. But here's the thing: it doesn't always look like what you see on TV. You're not crying all day or unable to function. You're just tired. Really tired. Getting out of bed is harder. The kids are crankier. You're snapping at people you care about. The things that used to help don't seem to work anymore. And if you're working, taking care of kids, managing appointments, and trying to keep up with bills, winter can feel impossible. When someone tells you to "exercise" or "practice self-care," even though it’s true, it just sounds like one more thing you don't have time or energy for. But movement doesn't have to be a whole workout. It's not about having energy. It's about giving your body small signals that help you feel a little more okay, even when everything else feels stuck. Why Winter Depression Hits So Hard in Ohio Seasonal Affective Disorder (SAD), sometimes called winter depression, happens when your body doesn't get enough sunlight. The lack of light messes with chemicals in your brain that control your mood and sleep. In Ohio, where winters are long and gray, this problem gets worse because people spend more time inside and alone. If you live in a small town or rural area (like many of us in Wayne and Holmes Counties), winter can feel even more isolating. You're not running into people at the store. You're not chatting with neighbors outside. You're just inside, dealing with everything on your own. This is especially hard if you're already managing depression, anxiety, ADHD, or trauma. Winter doesn't cause these things, but it makes them worse. Why Moving Your Body Helps, Even When You Don't Feel Like It Here's something important to know: depression takes away your motivation before you do anything. That's not you being lazy. That's how depression works. But research shows that movement helps, even when you don't feel motivated. You don't have to wait until you feel better to start. You move first, and your brain catches up later. This is called behavioral activation, and it's one of the main ways therapists help people with depression. Even small amounts of movement help your brain make chemicals that improve your mood, help you sleep better, and lower stress. During Ohio winters, when it's hard to get outside or stay active, intentional movement becomes even more important. Real Movement That Works When You're Exhausted Forget the gym. Forget running. Real movement for depression looks different, and you're probably already doing some of it without realizing it. Stretching between tasks. Stand up and stretch after you drop the kids off at school. Stretch before you get in the car. Stretch while your coffee is brewing. These tiny moments tell your body: we're okay. We can move. Moving while you warm up. Pace around the kitchen while you're heating up food. Do slow stretches in a hot shower. Your body responds to warmth and movement together. Movement you're already doing. Squat down when you pick up laundry. Pace while you're on the phone. Do calf raises while you wash dishes. You're just moving while you do what you already have to do. Grounding movement. Rock slowly. Sway. Give yourself a tight hug or lean against a wall. This kind of movement can help if you feel anxious or overwhelmed. Get light while you move. Stand or sit near a window while you fold laundry, drink coffee, or check your phone. You're getting light and movement at the same time, both help. The point isn't to do a lot. The point is to make it easy. Because when you're depressed, the hard part isn't the movement itself, it's getting started. Helping Kids and Teens Who Are Struggling Kids and teens often show stress through their behavior before they can talk about it. They're more irritable. They won't talk to you. They blow up over small things. If your child has ADHD, anxiety, depression, or other challenges, winter can make everything harder. Movement helps kids regulate their emotions without having to explain what's wrong. Try walking side-by-side instead of sitting down for a "serious talk." Give them movement breaks before homework. Let them bounce a basketball, pace around, or swing, repetitive movement helps their brain calm down. If your kid is having a hard time this winter, that doesn't mean something is wrong with them (or with you). It means they might need some extra support to get through it. How Therapy Helps You Build Skills That Actually Work Therapy isn't just talking about your feelings. Behavioral therapy is about learning real skills and building routines that work in your actual life, especially when depression makes everything feel harder. At Anazao Community Partners, our therapists help you break things down into small steps. We help you follow through without expecting you to be perfect. And when things change week to week (because life is like that) we adjust our approach so it actually fits what you're dealing with. Therapy helps you practice getting better, not just understand what you should do. That's why it works for seasonal depression, anxiety, ADHD, trauma, and other challenges. You Don't Have to Wait Until Things Fall Apart Maybe you're worried about ending up in a crisis. Maybe you think you can't afford therapy. Maybe you're worried about being judged or turned away. Those worries make sense. But you don't have to wait until everything falls apart to get help. Anazao Community Partners accepts Medicaid. That means if you have Medicaid, therapy is covered. You won't get a bill you can't pay. You won't be turned away. We work with kids, teens, and adults all across Northeast Ohio. We know what it's like to manage stress, money problems, work, and family, all while trying to keep it together. We're here to help before things get worse. Try This One Thing This Week Pick one moment today to move your body. Pick the easiest thing. If you can, do it near a window or somewhere warm. If it helps even a little bit, that counts. That's progress . You don't have to fix everything at once. You just need one small signal that tells your body: we're okay. We're moving. We're still here. If winter feels too heavy (or someone you care about is struggling) help is available. Anazao Community Partners provides therapy that's covered by Medicaid for people and families across Ohio. We help you build real skills that make winter easier and life feel possible again. Call Anazao Community Partners today to talk with someone who can help. We accept Medicaid. No rejection. No surprise bills.
Seasonal depression doesn't have to dull life this winter. Reach out to Anazao.
January 9, 2026
Winter can feel overwhelming. Learn simple, realistic ways to manage stress and seasonal depression, plus how to get Medicaid-covered support at Anazao.