The Ohio Department of Medicaid (ODM) has released its May 6 newsletter with the following news and information on OhioRISE:
Next Generation Program to Launch July 1 with OhioRISE
ODM will begin to launch its Next Generation of Ohio Medicaid program beginning Friday, July 1, with the implementation of OhioRISE, a coordinated care program for children with complex behavioral health needs. Other Medicaid programs will be implemented in the following months on a staggered basis to keep the focus on the individual and honor member choice to allow for a smooth transition. This staggered start ensures continuity of care, limits confusion, and reduces complexities surrounding the anticipated end of the federal public health emergency (PHE) and provides the necessary time for provider testing and training.
For details, visit the ODM newsletter.
The CANS IT System is Live
ODM launched the Ohio Children’s Initiative Child and Adolescent Needs and Strengths (CANS) Information Technology (IT) System on May 2. The new OhioRISE program will use the Ohio Children’s Initiative CANS tool to establish eligibility, and a wide variety of providers will also use the CANS to inform care planning and decision-making for children and adolescents with behavioral health needs. Certified Ohio Children’s Initiative CANS assessors are expected to use the CANS IT System to gather all information about the child/youth and family story to describe their strengths and needs.
For more information, visit the ODM newsletter.
OhioRISE 1915(c) Home- and Community-Based Waiver Training: You’re Invited!
ODM invites you to attend the OhioRISE 1915(c) Home- and Community-Based Waiver training to help you prepare for implementing this important program in July 2022. As a part of the OhioRISE program, ODM will utilize waivers that provide ODM with more flexibility when implementing Medicaid programs. We will utilize a Home- and Community-Based services (HCBS) 1915(c) waiver to help youth needing services and support to stay in their home and communities rather than in institutions.
This training is broken out into two segments with the first providing an overview of the waiver, eligibility, its services, care coordination, waiver slots, and much more. The second segment is for those interested in learning about provider types/provider qualifications, billing, coding, reimbursement, and other provider responsibilities.
For more information, visit the ODM newsletter.