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More Ohio children than ever are being supported through a program that coordinates community resources to provide the best possible care for kids facing complex mental and behavioral health needs. July marked two years since Ohio's launch of OhioRISE and the specialized managed care program the specialized managed care program is making major strides in supporting more youth and families in need.
Jun 21, 2022 · ODM selected Aetna Better Health of Ohio (Aetna) to serve as the specialized managed care organization for the . state’s children with the most complex behavioral health needs for this new OhioRISE program. Aetna is working . with ODM, state sister agencies, providers, families, youth , and stakeholders to implement a child and family-
Sep 20, 2021 · Ohio Resilience through Integrated Systems and Excellence Specialized MCO ODM will procure a special type of managed care plan –a prepaid inpatient health plan (PIHP) –to ensure financial incentives and risk sharing are in place to drive appropriate use of high-quality behavioral health services Shared Governance Model
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Aetna Better Health of Ohio was selected by the ODM to serve as the single statewide OhioRISE managed care plan. In February 2022, Aetna selected providers to serve as Care Management Entities (CMEs) for OhioRISE. What is a Care Management Entity (CME)? A care management entity (CME) is a community-based organization that serves as the “locus of
Dec 21, 2009 · Agency or arrangement that receive Ohio Medicaid funds. Case Management Agency Ohio Home Care Case Management Agencies OhioRISE Aetna –Tier 1 Care Management Entity A local community agency contracted with the OhioRISE Plan that provides behavioral health care management to OhioRISE enrolled members. Tier 2‐3 23
Community Care for the Elderly (CCE) Program The Community Care for the Elderly (CCE) Program provides community-based services to help functionally impaired older people live in the least restrictive yet most cost-effective environment suitable to their needs. Eligible clients may receive services, including: adult day care, case management, chore, companionship, escort, emergency alert response,
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How many CMEs are there in Ohio?
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Start to work together on a child- and family-centered care plan that makes sure your behavioral health needs are met. Explain how to get services for crisis situations and start to create a crisis plan. Set up times for regular contacts through visits and calls. Decide what services you need help to set up and how we can help.