OhioRISE Website for Members & Families

The Ohio Department of Medicaid’s (ODM) OhioRISE program is a specialized managed care program for youth with complex behavioral health and multisystem needs. If you have patients or families that need more information about the OhioRISE program, you can now direct them to the Resources for Members and Families webpage.

Who can benefit from the OhioRISE program?

• Youth who have multiple needs that result from behavioral health challenges.
• Youth who have multisystem needs or are at risk for deeper system involvement.
• Youth who are at risk of out-of-home placement or are returning to their families from out-of-home placement.

Eligibility for the OhioRISE program (must meet all the following three criteria)

• Children who are eligible for Ohio Medicaid (either managed care or fee-for-service), AND
• Are age 0-20, AND
• Require significant behavioral health treatment needs, measured using the Ohio Child and Adolescent Needs and Strengths (CANS) assessment.

If you are interested in learning about the OhioRISE program and how to determine eligibility to begin the referral process, visit the Resources for Members and Families webpage.