OhioRISE

OhioRISE (Resilience Through Integrated Systems and Excellence) is a managed care program for youth with behavioral health needs. In addition to the behavioral health services already available through Medicaid, OhioRISE offers the following services:

  • Care coordination determined by the Child and Adolescent Needs and Strengths (CANS) assessment
    • Your managed care organization will also be included in your care coordination
  • Intensive home-based treatment (IHBT)
  • Mobile response and stabilization services (MRSS)
  • Behavioral health respite
  • Wraparound supports
  • Psychiatric residential treatment facility (PRTF) services: Available in early 2023.

Members enrolled in the OhioRISE program will also keep their managed care enrollment for the physical health benefit.

To be eligible, members must be:

  • Enrolled in Ohio Medicaid
  • Under the age of 21
  • Meet a functional needs threshold for behavioral healthcare, as identified by the CANS assessment

If you would like assistance to obtain a CANS assessment to determine eligibility for OhioRISE please contact our Rapid Response and Outreach Team at 1-833-464-7768 or via email and request referral for CANS Assessment.

Timeline

The CANS assessment will be scheduled with a certified CANS Assessor within 72 hours after the referral is submitted. The CANS assessment will be completed 10 days after scheduling with a certified CANS assessor. The Ohio Department of Medicaid (ODM) will determine OhioRISE program eligibility 2 business days after the assessment is submitted to ODM.

For more information on OhioRISE services, please contact Aetna Better Health of Ohio Member Services at 1-833-711-0773.

Mental health and addiction crisis

A mental health or addiction crisis is not a life-threatening situation. In a crisis, a person may be thinking about hurting themselves or someone else or may be extremely emotionally upset or distressed — call 988. If you or someone you know is experiencing a mental health or addiction emergency or life-threatening situation, call 911.

Examples of a mental health and addiction crisis:

  • Talking about suicide or planning to harm oneself
  • Talking about harm to self or others
  • Self-injury that doesn’t need immediate medical attention
  • Overuse of alcohol or other drugs
  • Extreme depression, anxiety, or other mental illness symptoms

If someone is having a mental health and/or addiction crisis, call 988.

Is it a mental health and addiction emergency or crisis? Read Mental Health and Addiction Emergency or Crisis? to learn the difference and know when to call 911 or 988.

Mobile Response and Stabilization Services (MRSS) provide immediate behavioral health services, at home or another safe location, for young people under 21 experiencing significant behavioral or emotional distress. Call the MRSS hotline at 1-888-418-MRSS (6777).

Members