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Ohio Department of Medicaid · July 1, 2022 · Primary source

Governor DeWine Announces Launch of OhioRISE Governor DeWine Announces Launch of OhioRISE, First-Ever Highly Specialized Behavioral Health Program for Kids with Most Complex Needs. July 01, 2022

Score 63PRIMARYregulatoryState MedicaidOH

Summary

Ohio Governor DeWine announced the July 1, 2022 launch of OhioRISE, a specialized Ohio Medicaid managed care behavioral health program for children and youth with complex needs, administered through a contract with Aetna Better Health of Ohio. The program features a statewide network of care management entities, new and enhanced evidence-based mental health services, and was designed to prevent families from relinquishing custody to access intensive behavioral health care. Ohio Medicaid expected enrollment to reach up to 50,000 children and youth within the first year.

What this may mean

OhioRISE created a new Ohio Medicaid managed care plan specifically for pediatric behavioral health with complex needs, establishing new provider and care management entity contracting opportunities and obligations under the Aetna Better Health of Ohio contract. Providers seeking to serve OhioRISE-enrolled youth must participate in the OhioRISE network and comply with the program's care coordination and service requirements.

Informational only. Not legal, medical, financial, or other professional advice. Always consult a qualified professional familiar with your specific facts before relying on any item.

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