The OhioRISE Program a. As part of the Governor's overarching goal to improve care for children and adults with complex needs, Ohio is designing a reimagined Medicaid system and structure to serve multi-system youth and other children with complex behavioral health needs. Ohio's approach to achieve this goal is through implementation of the OhioRISE Program. OhioRISE will facilitate ODM and other state child serving agency goals by:
i. Creating a seamless delivery system for children, families, and system partners;
ii. Providing a "locus of accountability" by offering intensive care coordination; and
iii. Expanding access to critical services needed for this population and assisting families, state and local child serving agencies, and other health providers to locate and use necessary services.
b. The OhioRISE Program has been jointly developed by ODM, the Governor’s Office of Children’s Initiatives, and other state child serving agencies. This multi-agency partnership will be responsible for the shared governance of the OhioRISE Program. The OhioRISE Plan will have a contractual relationship with ODM. This approach reflects the OhioRISE target population that includes children and youth with serious or complex behavioral health needs who are at risk of involvement or are involved in multiple child-serving systems. These child serving systems include the Department of Developmental Disabilities (XXXX), Ohio Department of Education (ODE), Ohio Department of Health (ODH), Ohio Department of Job and Family Services (ODJFS), Ohio Department of Mental Health and Addiction Services (OMHAS), Ohio Department of Rehabilitation and Correction (ODRC), Ohio Department of Youth Services (DYS), and Ohio Family and Children First (OFCF).
c. The OhioRISE Program will use intensive and moderate care coordination, through the creation of local care management entities (CMEs) to improve the timeliness and appropriateness of service delivery to its members. Through the use of enhanced care coordination offered by the CMEs, the OhioRISE Program seeks to:
i. Reduce unnecessary hospitalizations and emergency room visits;
ii. Decrease involvement with the juvenile justice and corrections systems;
iii. Reduce out-of-home and out-of-state placements (residential care and xxxxxx care);
iv. Increase school attendance and performance; and
v. Reduce custody relinquishment for children, youth, and families.
d. The OhioRISE Plan will be responsible for ensuring the care coordination efforts support rather t...
The OhioRISE Program. As part of the Governor's overarching goal to improve care for children and adults with complex needs, Ohio is designing a reimagined Medicaid system and structure to serve multi-system youth and other children with complex behavioral health needs. Ohio's approach to achieve this goal is through implementation of the OhioRISE Program. OhioRISE will facilitate ODM and other state child serving agency goals by:
