Medicaid
Article

OhioRISE

Community Solutions Team
Transforming data into progress
Additional Contributors
No items found.
April 29, 2021
Read time:
Download Fact Sheets
Register now
Share this resource
Subscribe to our Newsletter
By subscribing you agree to with our Privacy Policy.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Download this as a PDF

Why OhioRISE?

A new managed-care approach, OhioRISE (Ohio Resilience through Integrated Systems and Excellence),[1] will focus on a population of children and youth with serious behavioral health needs, who are often involved in multiple public youth-serving systems, and their families. Many of these children and young people are often referred to as “multisystem” youth or MSY.

OhioRISE is designed to address the behavioral health treatment and support needs of ‘intersection’ of young people who need a greater array and intensity of services…

What will OhioRISE accomplish?

OhioRISE will support the development of a single managed-care plan for the OhioRISE youth population and their families. The plan will ensure the following:

  • Appropriate assessments as to intensity of need
  • Individualized plans of care that draw on an array of in-home and community services and coordination of these services across various community providers, agencies, and systems.OhioRISE is designed to address the behavioral health treatment and support needs of ‘intersection’ of young people who need a greater array and intensity of services and care coordination than the current Medicaid plan provides.

The ultimate goal of OhioRISE is to keep youth in their homes, communities and schools by assessing for and delivering the appropriate intensity of services needed, thus reducing unnecessary out-of-home placement and potential custody relinquishment. State and local level partnering across the juvenile justice, behavioral health, developmental disabilities, child welfare and education systems, will further this goal.

Since the children, youth, and families eligible for OhioRISE will typically be involved in multiple public systems, it is important to have a single assessment tool that supports communication across those systems, therefore the Child and Adolescent Needs and Strengths (CANS)[2] has been selected as the system-wide assessment tool.

The proposed structure asks the following of each participating system: What do these youth need and what do we bring to the table to build a Medicaid system that works for this population?

Who is eligible for OhioRISE?

Under the proposed OhioRISE plan, eligible youth are (but not limited to):[3]

  • Enrolled in Medicaid (managed care and fee for service)
  • Up to age 21
  • In need of significant behavioral health services
  • Meet functional needs criteria as assessed by the Child and Adolescent Needs and Strengths (CANS)ODM estimates up to 50,000-60,000 children, youth, and their families may be enrolled by the end of year one.

What are the OhioRISE services and supports?

In addition to the current behavioral health services under Medicaid,[4] there are several key services to be added or expanded with OhioRISE:

  • Intensive care coordination using High Fidelity Wraparound (HFWA)
  • Moderate care coordination using a wraparound-informed approach
  • Mobile Response and Stabilization Services (MRSS)
  • Intensive Home-Based Treatment (IHBT) Services
  • Psychiatric residential treatment facilities (PRTFs)imp

How is OhioRISE collaborative?

The Governor’s Office of Children’s Initiatives, Ohio Family and Children First, and the respective state and local agencies, will continue partnering in further planning, implementation, and evaluation of OhioRISE. OhioRISE will partner with ODJFS on the implementation of the Family First Prevention Services Act (FFPSA)[5] which allows the child protection system to use Title IV-E funds for an array of evidence-based community interventions designed to preserve and support families and limit out-of-home placement.

Another key collaborative effort across the systems, will be the implementation of a Child and Adolescent Behavioral Health Center of Excellence (COE)[6] through a contract with the Ohio Department of Mental Health and Addiction Services (OMHAS). The role of the COE will support the further advancement of the child, youth and family behavioral health field and will be a resource to the efforts of OhioRISE and FFPSA.

How will OhioRISE be implemented?

OhioRISE will employ a “shared governance” approach to management comprised of the Office of Children’s Initiatives, OFCF, and all state departments which serve youth and families. The proposed structure asks the following of each participating system: What do these youth need and what do we bring to the table to build a Medicaid system that works for this population?

What are the next steps?

ODM selected Aetna Better Health Inc. dba Aetna Better Health of Ohio, as the single MCO for the implementation of OhioRISE. The next six months will be in preparation for ‘going live’ in January 2022.

[1] https://managedcare.medicaid.ohio.gov/wps/portal/gov/manc/managed-care/ohiorise/ohiorise

[2] https://praedfoundation.org/tools/the-child-and-adolescent-needs-and-strengths-cans/

[3] https://managedcare.medicaid.ohio.gov/wps/portal/gov/manc/managed-care/ohiorise/ohiorise

[4] https://managedcare.medicaid.ohio.gov/wps/portal/gov/manc/managed-care/ohiorise/ohiorise

[5] https://jfs.ohio.gov/ocf/Family-First.stm

[6] https://mha.ohio.gov/Portals/0/assets/ResearchersAndMedia/News%20and%20Events/NewsNowBlog/COE.pdf

Download Fact Sheets

Ohio Statewide Data

Download

Wood County

Download

Wyandot County

Download

Williams County

Download

Washington County

Download

Vinton County

Download

Wayne County

Download

Warren County

Download

Van Wert County

Download

Union County

Download

Tuscarawas County

Download

Stark County

Download

Summit County

Download

Trumbull County

Download

Shelby County

Download

Seneca County

Download

Scioto County

Download

Ross County

Download

Sandusky County

Download

Richland County

Download

Putnam County

Download

Huron County

Download

Portage County

Download

Preble County

Download

Pike County

Download

Pickaway County

Download

Perry County

Download

Noble County

Download

Paulding County

Download

Ottawa County

Download

Morrow County

Download

Muskingum County

Download

Morgan County

Download

Montgomery County

Download

Meigs County

Download

Monroe County

Download

Miami County

Download

Mercer County

Download

Marion County

Download

Madison County

Download

Medina County

Download

Mahoning County

Download

Lucas County

Download

Lorain County

Download

Logan County

Download

Licking County

Download

Lawrence County

Download

Lake County

Download

Holmes County

Download

Jackson County

Download

Knox County

Download

Jefferson County

Download

Hocking County

Download

Henry County

Download

Highland County

Download

Harrison County

Download

Hancock County

Download

Hardin County

Download

Greene County

Download

Geauga County

Download

Guernsey County

Download

Hamilton County

Download

Gallia County

Download

Fayette County

Download

Fulton County

Download

Franklin County

Download

Fairfield County

Download

Erie County

Download

Darke County

Download

Defiance County

Download

Coshocton County

Download

Delaware County

Download

Cuyahoga County

Download

Crawford County

Download

Columbiana County

Download

Clinton County

Download

Clermont County

Download

Clark County

Download

Champaign County

Download

Carroll County

Download

Athens County

Download

Ashtabula County

Download

Brown County

Download

Butler County

Download

Belmont County

Download

Auglaize County

Download

Ashland County

Download

Allen County

Download

Adams County

Download

Lake County

Download

Geauga County

Download

Cuyahoga County

Download

All Municipalities Geauga County

Download

All Municipalities Lake County

Download

All Municipalities Cuyahoga County

Download

Thompson

Download

South Russell

Download

Russell

Download

Parkman

Download
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Download report

Subscribe to our newsletter

5 Things you need to know arrives on Mondays with the latest articles, events, and advocacy developments in Ohio

Explore the fact sheets

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique.

No Related Fact Sheets

Explore Topics

Browse articles, research, and testimony.