Care Coordination

OhioRISE logo: Resilience through Integrated Systems and Excellence

OhioRISE (Resilience through Integrated Systems and Excellence) is a specialized Medicaid managed care program that focuses on children who have complex behavioral health and multisystem needs. Young people with these needs often require help and services from multiple community systems which may include juvenile justice, child protection, developmental disabilities, schools, mental health and addiction and others. OhioRISE services became available on July 1, 2022.

Over time, it will mean that kids who deal with complex behavioral health issues do not have to travel across state lines or be in a secured facility. Instead, the goal is to bring their care closer to home in their familiar communities and surroundings. This approach builds upon OhioGuidestone’s approach. We want care to be more accessible and more manageable for children, youth, and their families.

As a care management entity (CME) for OhioRISE, OhioGuidestone will support OhioRISE members who live in the western Cuyahoga County area. OhioGuidestone will eventually help over 2,000 young people who require specialized behavioral healthcare so they can receive the services they need closer to home.

Eligibility

Children and youth who may be eligible for OhioRISE include those who are:

  • Ages 0-20
  • Eligible for Ohio Medicaid (either managed care or fee-for-service), and
  • Require significant behavioral health treatment needs, measured using the Ohio Child and Adolescent Needs and Strengths (CANS) assessment.

Children and youth may also be eligible for OhioRISE due to certain urgent conditions. For example, if a child or youth is in a hospital for behavioral health reason. OhioGuidestone can guide you on how to schedule a CANS assessment.

How to Enroll

If you are a family who has a child or youth who could benefit from OhioRISE services, or a referral source that has a child or youth in the western Cuyahoga area who needs help, please call 1.866.502.RISE (1.866.502.7473). OhioGuidestone will help to determine eligibility for OhioRISE and will also provide the information to eligible children and youth to get them started with OhioRISE.

Employment Opportunities

OhioGuidestone is hiring positions for OhioRISE. Please visit our Employment Opportunities page for details.

OhioGuidestone Care Coordination Services are available in the following counties:

Cuyahoga

*Telehealth services are available throughout the state.

OhioGuidestone can help

Are you in need of our services? Contact us today to learn more about next steps and the kind of care you can expect from OhioGuidestone.