August 18, 2022

Ohio Medicaid: New OhioRISE care program for children and youth

As of July 1, 2022, the Ohio Department of Medicaid (ODM) program OhioRISE (Resilience through Integrated Systems and Excellence) is available. This Medicaid-managed care program¹ offers specialized behavioral health care for children and youth. It aims to keep more kids and families together by creating access to in-home and community-based services for young people who have complex behavioral health needs.

How you can help

  1. If you think your patient may benefit from the program, please see information about eligibility and other topics on the OhioRISE page of the Ohio Medicaid Managed Care site
  2. Become certified in the Child and Adolescent Needs and Strengths (CANS) assessment through the ODM to perform it with your patient
  3. Refer your patient to a CANS-certified assessor if you aren’t one

How to receive reimbursement
To receive reimbursement for performing a CANS assessment, you must be registered with Medicaid and update your registration to include the CANS assessor specialty. For more information, visit the CANS Resources page.

How families can learn more
Families can find CANS-certified health care professionals and receive more information by:

  • Visiting the Find a Provider page on the ODM site and selecting Health Plan > UnitedHealthcare Community Plan of Ohio
  • Calling the OhioRISE member services line at 833-711-0773 from 7 a.m.–8 p.m., Monday–Friday
  • Accessing the UHC Community Plan OhioRISE Guide on UHCcommunityplan.com

Questions?
If you have questions, please contact Provider Services at 877-842-3210.

¹Eligibile children and youth receive their behavioral health benefits through Aetna Better Health of Ohio, the OhioRISE plan
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