OhioRISE

OhioRISE

OhioRISE: Resilience through Integrated Systems and Excellence

OhioRISE is a Medicaid program in Ohio designed to help young people with significant behavioral health issues succeed in their schools, homes, and communities.

“RISE” stands for “Resilience through Integrated Systems and Excellence,” highlighting the program’s mission to provide comprehensive care that meets the needs of each unique individual. <CME Name> is proud to partner with OhioRISE as one of 18 care management entities (CME). We help connect OhioRISE members in our service areas with the care they need. We serve western Hamilton County.

OhioRISE:

  • Is centered on the needs of the child.
  • Involves the youth and family in creating a comprehensive plan to reach their goals with coordinated care.
  • Wraps all the programs that kids and families need around them.

Under OhioRISE, youth and families covered by Medicaid will be able to take advantage of intensive treatments and coordinated care paid for by Medicaid without the requirement that the state pays for everything.

Eligibility

Young people who may be eligible for OhioRISE include those who are:

  • Ages 0-20
  • Eligible for Ohio Medicaid, either managed care or fee-for-service, and
  • In need of significant behavioral health services.

Aetna is the health insurance company overseeing the program.

How to Enroll

If you are a family who has a child or youth who could benefit from OhioRISE services, have questions, or would like to make a referral, please call 513-475-7122 or send an email to ohiorise@lys.org.

Click here for more information about OhioRISE.

Click here for answers to frequently asked questions.