by: Andy Jesson, AOF Policy & Communications Intern
OhioRISE (Resilience through Integrated Systems and Excellence) is a state program created as part of Ohio Medicaid’s effort to launch a new era of Medicaid for Ohioans, focused on specialized care for youth with complex needs. OhioRISE was created in recognition of the need for specialized services targeted at Ohio children and youth. OhioRISE was designed for multi-system youth, that is, kids and families involved with multiple systems in pursuit of receiving care, with an eventual goal of providing care coordination and oversight to all aspects of the child’s care.
The OhioRISE initiative is working towards offering six unique programs for youth with complex behavioral health needs. New services will include intensive and moderate care coordination (ICC/MCC), intensive home-based treatment (IHBT), psychiatric residential treatment facilities (PRTF), mobile response and stabilization services (MRSS), behavioral health respite, and primary flex funds. These new services will be provided in addition to existing community behavioral health services and other outpatient and inpatient hospital behavioral health services. More information about each service provided through OhioRISE can be found here.
This past November, Ohio’s first PRTF opened in Grove City, equipped to serve 12 youth at any given time. Over the next three years, OhioRISE anticipates the opening of 11 additional PRTFs located throughout the state.
Eligibility Requirements for Participation in OhioRISE
Individual must be eligible for Ohio Medicaid (either managed care or fee-for-service)
Must be age 0-20
Individual requires significant behavioral health treatment needs, measured using the Ohio Child and Adolescent Needs and Strengths (CANS) assessment
Children may also be eligible for participation in OhioRISE if an urgent health condition arises.
As of December 2023, more than 28,000 Ohio children and youth are enrolled in OhioRISE. OhioRISE releases a monthly newsletter containing important information regarding future projects and current work. The most recent OhioRISE Together newsletter can be found here. For direct help/information, contact your local care management entity (CME).