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.
Lighthouse is proud to partner with OhioRISE as one of 18 care management entities (CME). We connect OhioRISE members in western Hamilton County with the care they need.
Who may benefit from OhioRISE?
OhioRISE serves young people who are dealing with behavioral health challenges.
These children and youth may need extra support and could be at risk for out-of-home placement or deeper system involvement due to:
- Mental health needs.
- Substance use challenges.
- Autism or other developmental disabilities.
- Juvenile court involvement.
- Situations that lead to child protective services involvement.
- Difficulty with peer and family relationships.
- Problems at school.
How does OhioRISE help youth with behavioral health needs?
OhioRISE provides support for behavioral health concerns through “care coordination.”
An OhioRISE enrollee and their caregiver or family are paired with a care coordinator who assists them by:
- Designing a care plan that builds on the youth and caregiver or family’s strengths, needs, culture, and vision.
- Building a care team that collaborates to prioritize child or youth and family voice and choice.
- Connecting a child or youth to treatment services and resources.
- Ensuring all needed services are received and barriers to care are removed.
What does OhioRISE cover?
The program provides new and improved
behavioral health services including:
- Intensive in-home and crisis services.
- Outpatient services, such as individual and group counseling.
- Inpatient mental health and substance use care at hospitals.
- Behavioral health respite, which is temporary relief
for a child or youth’s caregiver. - Primary flex funds, which is funding for services or items
to help address a need in a youth’s care plan.
Who qualifies for OhioRISE?
Children and youth can be eligible for OhioRISE if they are:
-
- Between the ages of 0-20.
- Eligible for Medicaid.
- Need significant behavioral health treatment as measured by
the Child and Adolescent Needs and Strengths Assessment (CANS).
Children and youth my also be eligible because of certain urgent conditions.
For example, if a child or youth is in a hospital for behavioral health reasons.
What is a CANS assessment?
The Ohio Child and Adolescent Needs and Strengths
(CANS) assessment is a tool used to determine eligibility for OhioRISE.
The CANS assessment also:
- Gathers the youth and their caregiver or family’s story.
- Helps understand the youth and their caregiver
or family’s needs and strengths. - Guides the best ways to provide support.
- Assists with ongoing care planning.
The CANS assessment is updated regularly to make sure
the child or youth’s needs are being met.
To request a CANS assessment,
complete an online referral form.
You can also call 513-475-7122 or send an email to OhioRISE@lys.org.
What happens after the CANS assessment?
Following a CANS assessment, eligible children and youth are e
enrolled in OhioRISE effective the date their assessment is submitted.
If a child or youth is determined to not be eligible,
they will be sent a notice including information
about hearing rights.
What is the OhioRISE waiver?
As part of the OhioRISE program, the OhioRISE 1915(c) waiver
was created.
The OhioRISE Waiver helps young people who are at risk of
custody relinquishment or placement in a facility.
This waiver has specific eligibility criteria and includes additional services.
To learn more about the OhioRISE Waiver, click here.
Contact us about OhioRISE
Lighthouse Youth & Family Services is ready to answer your questions about OhioRISE. Connect with our team today. Call 513-475-7122 or send an email to OhioRISE@lys.org.
To make a referral for a CANS assessment to determine OhioRISE eligibility, click here.
Clients have the right not to be discriminated against on the basis of race, ethnicity, age, color, religion, gender, gender identity, military status, ancestry, national origin, sexual orientation, physical or mental handicap, developmental disability, genetic information, human immunodeficiency virus status, or in any manner prohibited by local, state or federal laws. Ohio Department of Medicaid (ODM) follows state and federal civil rights laws that protect you from discrimination or unfair treatment. To help you understand this website, language assistance, interpretation services, auxiliary aids, and services are available upon request at no cost to you. You can request these services by calling ODM’s Civil Rights/ADA Coordinator at 614-995-9981/TTY 711, fax 1-614-644-1434, or email: ODM_EEO_EmployeeRelations@medicaid.ohio.gov