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“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.
Who Is Eligible?
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Eligible for Ohio Medicaid
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Between the ages of 0-20
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Have significant behavioral health needs, which is determined through the Ohio Child and Adolescent Needs and Strengths (CANS) assessment
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Youth may also be eligible for OhioRISE due to certain urgent conditions. For example, if they are in a hospital for behavioral health reasons.
CANS Assessment
Child & Adolescent Needs & Strengths (CANS)
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:
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Gathers the young person and their caregiver/family’s story.
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Helps understand the young person and their caregiver/family’s needs and strengths.
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Guides the best ways to provide support.
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Assists with ongoing care planning.​
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The CANS assessment is updated regularly (at least every 90 days) to make sure the child/youth’s needs are being met.
Where Do Families Go To Get an Eligibility CANS Assessment Completed?
Young people and their families have options! Both CMEs and their subcontractors, including Franklin County Family and Children First Council (FCFC), are certified CANS assessors.
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​A CANS assessment can be requested through:
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Your Managed Care Organization (MCO)
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Aetna Better Health of Ohio
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The Medicaid Consumer Hotline
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Click here to schedule a CANS assessment from your
managed care organization, Ohio Medicaid, or Aetna,
the OhioRISE plan to determine eligibility.
FCFCFC
OhioRISE
A care management entity (CME) is a community-based organization that serves as the “locus of accountability” for delivering the wraparound model for a catchment (geographic) area of Ohio to serve children and youth enrolled in OhioRISE.
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The Village Network (West - Catchment K)
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Call (614) 253-8416, or
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The Buckeye Ranch (East - Catchment L)
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Call (614) 384-7798 or
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Walk in for an assessment Monday through Thursday (request an eligibility CANS) at the following locations:
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What is a Care Management Entity?
How Does Franklin Co. FCFC Fit in with OhioRISE?
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Franklin County FCFC is subcontracted with both OhioRISE Care Management Entities (CMEs) in Franklin County for OhioRISE Care Coordination.
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The two CMEs in Franklin County are divided into catchment areas. The Village Network (TVN) on the west side (Catchment K), and The Buckeye Ranch on the east side (Catchment L).
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Youth enrollment with either CME (Care Management Entity) is based on zip code, unless family uses voice and choice to switch CMEs.
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For Limited Care Coordination (LCC)/ Tier 1, you can expect a monthly face to face meeting and phone call from an Aetna Care Coordination representative, and to meet with the child and family team every 90 days.
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For Moderate Care Coordination (MCC)/ Tier 2, you can expect to meet with your Care Coordinator (CC) and team members approximately two times a month, with additional phone calls and email contacts in between.
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For Intensive Care Coordination (ICC)/ Tier 3, you can expect to meet with your Care Coordinator (CC) and team members approximately four times a month, with additional phone calls and email contacts in between.
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Families have voice and choice in which tier best fits their needs and schedule, regardless of CANS recommendation.
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​​FCFC Multi-System Service Coordination and OhioRISE Tier 2 Moderate and Tier 3 Intensive Care Coordination are considered duplicative services.
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Families can opt for Limited Care Coordination through OhioRISE to keep their FCFC (Family and Children First Council) Facilitator.
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For questions about which care coordination option (OhioRISE or FCFC) may be the best fit for your situation, please contact Shannon.Farley@escco.org.
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For more information about OhioRISE, please check out the following links:​
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