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Boundless and OhioRISE help connect you to the resources you need to thrive.

Care coordinator giving a boy a high five while mom smiles and watches

What is OhioRISE?

OhioRISE (Resilience through Integrated Systems and Excellence) is a specialized Medicaid managed care program for children and youth with complex behavioral health (mental health/substance use disorder) and multi-system needs. Aetna Better Health of Ohio (Aetna) is the managed care partner for the program.

Happy mom and daughter meet with a care coordinator

What is OhioRISE care coordination?

OhioRISE care coordination connects your loved one to local services and supports through a coordinated network in the community. This helps empower the client to reach their full potential at home, in school, in the community, and throughout life. Children and caregiver teams meet regularly to assist with tailored care planning that focuses on your loved one’s unique strengths and resources, including beliefs, cultural considerations, community and natural supports, and their voice and choice.

Care coordinator talking with a little girl on a coach

What else does OhioRISE offer?

 In addition to all of the mental health and substance use disorder services currently covered by Ohio Medicaid, new and enhanced services under the OhioRISE plan include:

  • Intensive and Moderate Care Coordination (ICC/MCC)
  • Intensive Home-Based Treatment (IHBT)
  • Psychiatric Residential Treatment Facility (PRTF) – Available January 2023
  • Mobile Response and Stabilization Service (MRSS) – Also covered by MCOs and FFS Medicaid
  • Behavioral Health Respite
  • Primary Flex Funds

Is care coordination right for my loved one?

Children and young people with multiple behavioral health challenges, multi-system needs, or who are at risk for out-of-home placement may benefit from OhioRise care coordination.

OhioRISE care coordination is available to kids and young people up to age twenty, who are eligible for Ohio Medicaid and not currently enrolled in a MyCare Ohio plan.  

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