Centene - Ohio | HealthLuminate

Health Plan Overview

Insurance Company	Centene
State	Ohio
Website	centene.com
Number of Hospitals in Network	72
Number of Plans Offered	8

Network Hospital Locations

Hospitals in Network (72)

UH Samaritan Medical CenterUniversity of Cincinnati Medical CenterUnion HospitalSumma HealthFirelands Regional Medical CenterCleveland Clinic Akron GeneralWood County HospitalMount Carmel East and WestWooster Community HospitalGenesis HospitalUniversity Hospitals Parma Medical CenterMiami Valley HospitalHolzer GallipolisCleveland Clinic Mercy HospitalFairfield Medical CenterUH Geauga Medical Center, a campus of UH Regional HospitalsAtrium Medical CenterFairview HospitalUniversity Hospitals Portage Medical CenterEuclid HospitalAultman HospitalThe Ohio State University Wexner Medical CenterCleveland Clinic Lutheran HospitalCleveland Clinic Medina HospitalEast Liverpool City HospitalUniversity HospitalsThe Bellevue HospitalCoshocton Regional Medical CenterUH St. John Medical CenterAultman Alliance Community HospitalUH Cleveland Medical CenterCleveland Clinic Marymount HospitalSouth Pointe HospitalUH Elyria Medical CenterMarietta Memorial HospitalPomerene HospitalWestern Reserve HospitalAdena Regional Medical CenterUpper Valley Medical CenterCleveland ClinicHillcrest HospitalGlenbeigh Hospital of Rock CreekMount Carmel New Albany Surgical HospitalWest Chester HospitalDiley Ridge Medical CenterUniversity Hospitals Ahuja Medical CenterCleveland Clinic Avon Hospital at Richard E. Jacobs CampusAvita Ontario HospitalUH Beachwood Medical CenterLodi HospitalAdena Greenfield Medical CenterUH Geneva Medical CenterUH Conneaut Medical CenterHarrison Community HospitalBucyrus Community HospitalSelby General HospitalHolzer Medical Center - JacksonWVU Medicine Barnesville HospitalAultman Orrville HospitalGalion HospitalHocking Valley Community HospitalAdena Fayette Medical CenterHighland District HospitalAdena Pike Medical CenterUH Rainbow Babies & Children's HospitalCleveland Clinic Children's Hospital for RehabilitationDayton Children's HospitalBelmont Pines HospitalOhio Hospital for PsychiatryMount Carmel Behavioral HealthGeorgetown Behavioral Health InstituteGlenwood Behavioral Health Hospital

Available Plans

Catastrophic health insurance plans

1 plan

Exclusive Provider Organization

1 plan

Health Maintenance Organization

1 plan

Medicare Advantage plans

1 plan

Pharmacy Benefit Manager (contracted via Express Scripts)

1 plan

Point of Service

1 plan

Preferred Provider Organization

1 plan

Self-funded business health plans (not offered by Centene)

1 plan

Plan Details

Plan Name	Plan Type
NA	Preferred Provider Organization
NA	Health Maintenance Organization
NA	Exclusive Provider Organization
NA	Point of Service
NA	Self-funded business health plans (not offered by Centene)
NA	Pharmacy Benefit Manager (contracted via Express Scripts)
NA	Catastrophic health insurance plans
NA	Medicare Advantage plans

Recent News

2025-02-04

In November (prior to the press release date but reported in the Q4 2024 results released in February 2025), Centene's subsidiary, Buckeye Health Plan, was selected by the Ohio Department of Medicaid to continue providing Medicare and Medicaid services for dually eligible individuals through a Fully Integrated Dual Eligible Special Needs Plan (FIDE SNP). The three-year contract is expected to commence in January 2026.

2025-02-04

Centene Corporation's subsidiary, Buckeye Health Plan, was selected by the Ohio Department of Medicaid to continue providing Medicare and Medicaid services for dually eligible individuals through a Fully Integrated Dual Eligible Special Needs Plan (FIDE SNP). The three-year contract is expected to commence in January 2026.

State Leadership

Cindy McCarthy

Senior Manager, Provider Data & Analytics

Provider Data Management, Credentialing & Contracting, Ohio Statewide

Todd McConnell

Manager, Credentialing

Provider Data Management, Credentialing & Contracting, Ohio Statewide

Jeffery James

Manager, Provider Data Management

Provider Data Management, Credentialing & Contracting, Ohio Statewide

Tracy Embrey

Senior Manager, Utilization Management

Medical Management, UM, Inpatient review

Marcia Ashley

Senior Manager, Utilization Management

Medical Management, UM, Prior Authorization

Ellen LaSalvia

Director, Long Term Care & Support Services

Medical Management, LTC and Waiver Services CM

Jodi Hojnacki

Sr. Manager, Care Management, LTC, TOC

Care Management

Denise Dean

Manager, Care Management, Well, Waiver & Engagement

Care Management

Christina Brim

Supervisor, Utilization Management

Care Management, Waiver Authorizations

Bruce Wegner

Director, Claim Support Services

Claims, Ohio Statewide

Kelley Graves

Sr. Manager, Claims & Contract Support

Claims, Ohio Statewide

Clifford Green

Supervisor, Provider Services

Provider Services, Provider Services Issues