Ohio Department of Medicaid · July 31, 2025 · Primary source
Governor DeWine Recognizes OhioRISE Three-Year Milestone Governor DeWine Recognizes OhioRISE Three-Year Milestone July 31, 2025
Summary
Ohio Governor Mike DeWine and the Ohio Department of Medicaid marked the three-year anniversary of OhioRISE, a specialized Medicaid managed care program for children and youth with complex behavioral health needs, on July 31, 2025. The program has expanded from serving 5,500 youth at launch to nearly 50,000, operates through 18 regional care management entities contracted through Aetna Better Health of Ohio, and has opened three in-state psychiatric residential treatment facilities. Mobile Response and Stabilization Services are now available statewide in all 88 Ohio counties, with Intensive Home-Based Treatment available in 77 counties.
What this may mean
OhioRISE represents a state Medicaid managed care carve-in for pediatric behavioral health that contracts through a single managed care organization, Aetna Better Health of Ohio, and 18 care management entities, reshaping provider contracting and care coordination obligations for behavioral health organizations serving Ohio Medicaid youth. The statewide expansion of Mobile Response and Stabilization Services and the opening of psychiatric residential treatment facilities create new provider enrollment and billing pathways under Ohio Medicaid. The program's structure and outcomes are being positioned as a national model, suggesting other state Medicaid agencies may consider similar managed care behavioral health designs.
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