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As of May 2, the Ohio Children’s Initiative Child and Adolescent Needs and Strengths (CANS) Information Technology (IT) System is available for all certified Ohio Children’s Initiative CANS assessors to begin conducting CANS assessments with children/youth. The new OhioRISE program will use the Ohio Children’s Initiative CANS tool to establish eligibility and to inform care planning and decision-making for children and adolescents with behavioral health needs. Certified Ohio Children’s Initiative CANS assessors are expected to use the CANS IT System to gather all information about the child/youth and family story to describe their strengths and needs.
There are actions that you must take in order to use the CANS IT System to conduct CANS assessments with children/youth and to bill Medicaid for CANS assessments beginning July 1, 2022.
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Click here to view the CANS Resources page of the OhioRISE webpage, where you will find guidance for obtaining Ohio Children’s Initiative CANS certification, billing for CANS assessments, and accessing the CANS IT System.
- If you plan to bill Medicaid, the OhioRISE plan, or Medicaid managed care organizations for CANS assessments, you must be an enrolled Medicaid provider and add the “ORC – CANS Assessor” specialty to your enrollment. Click here to view the OhioRISE Provider Specialties Guide for guidance.
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ODM invites you to attend Module 4 of the OhioRISE community and provider training series to help you prepare for implementing this important program in July. This module covers local and statewide systems engagement. We encourage all local system community partners and providers who serve multisystem youth to attend. This may include staff of all levels within your organization. We are also inviting youth and families to attend Module 4 and appreciate your help in spreading the word!
As a reminder, we will present each OhioRISE community and provider training module live, and we will announce the availability of recordings on the OhioRISE webpage approximately a week after the live session.
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June Module 4 Training
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Session Type
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Date and Time
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Links
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Module 4 Live Training
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June 21 from 11-2 p.m.
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Click here to register
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ODM is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs, and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws. To request a reasonable accommodation due to a disability, please contact ODM’s ADA Coordinator at 614-995-9981/TTY 711, Fax 1-614-644-1434, or Email: ODM_EEO_EmployeeRelations@medicaid.ohio.gov at least three (3) business days prior to the applicable scheduled meeting. Further information can be found here: Notice of Nondiscrimination.
Please view ODM’s OhioRISE provider trainings series announcement on the OhioRISE webpage on managedcare.medicaid.ohio.gov and direct any additional OhioRISE questions to the OhioRISE mailbox.
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In February, ODM launched the OhioRISE community and provider training in partnership with Aetna Better Health of Ohio, the Child and Adolescent Behavioral Health Center of Excellence (COE), state agencies, and OhioRISE stakeholders. Since then, ODM has delivered five trainings for community partners and providers to help them prepare for implementing the OhioRISE program in July.
If you plan to deliver OhioRISE services and supports to OhioRISE-enrolled youth and their families starting July 1, and you were unable to attend any of the OhioRISE trainings that ODM has delivered live this year, we encourage you to watch the recording(s) linked below.
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OhioRISE Community and Provider Training Series Recordings
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Training Name and Delivery Date
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Audience
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Topics
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Link to Recording
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February 18: Module 1 OhioRISE Community and Provider Training
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- Local system partners
- Direct service providers
- State agencies
- Managed care entities
- Other interested parties
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- Overview of OhioRISE
- Eligibility and enrollment
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Click here to access
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March 29: Module 2 OhioRISE Community and Provider Training
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- Local system partners
- Direct service providers
- State agencies
- Managed care entities
- Other interested parties
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- Referrals
- Care coordination
- System of care integration
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Click here to access
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April 22: OhioRISE Juvenile Justice Track
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- Juvenile judges and court staff who work with children/ adolescents
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- OhioRISE overview
- Child and Adolescent Needs and Strengths (CANS) tool
- OhioRISE court operations
- Care management entities and system of care
- Differences between qualified residential treatment program (QRTP) and psychiatric residential treatment facilities (PRTF)
- Eligibility for OhioRISE juvenile justice involved youth
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Click here to access
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April 29: Module 3 OhioRISE Community and Provider Training
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- Local system partners
- Direct service providers
- State agencies
- Managed care entities
- Other interested parties
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- Enrollment
- OhioRISE services
- Billing and claims
- IT systems
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Click here to access
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May 18: OhioRISE 1915(c) Waiver Training
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- Waiver overview
- Services
- Billing and coding
- Eligibility for the waiver
- Waiver slots
- ·Provider types/provider qualification
- Reimbursement
- Other provider responsibilities
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Recording will be announced soon on the OhioRISE webpage
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ODM will also offer additional trainings for OhioRISE’s community partners between now and go-live for child protection, developmental disability boards, managed care and providers, and hospitals. You can find additional information about the OhioRISE community and provider training series on the OhioRISE Community and Provider Training page of the OhioRISE webpage.
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OhioRISE’s care management entities (CMEs) were launched in February and will serve as the go-to providers delivering wraparound care coordination for children and youth with complex behavioral health needs enrolled in OhioRISE. CMEs will also help ground and grow their communities’ system of care so overall resources expand to help children and youth with behavioral health needs and their families in the coming months and year. The CMEs’ focus for the July 1 go-live and beyond is ensuring that wraparound, high-intensity care is available, coordinated locally, and clinically integrated for OhioRISE-enrollees. The CMEs are therefore working to expand their relationships with local system partners as well as other child-serving systems and agencies so they can collaborate when serving children/youth and families enrolled in OhioRISE.
Children and youth who may be eligible for OhioRISE*:
- Are eligible for Ohio Medicaid (either managed care or fee-for-service),
- Are age 0-20, 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 reasons.
Providers and community partners can refer children/youth to their local CME for a CANS assessment. We encourage you to get to know and partner with the OhioRISE CME serving your geographic area in Ohio so that you are prepared to help children/youth and their families be assessed for OhioRISE eligibility.
The flyers linked under the “CME Contact Information” tab on the OhioRISE Care Management Entities (CMEs) page of the OhioRISE webpage will provide you with each CME’s contact information, including their:
- Crisis line
- Website
- Contact for public inquiries
- Contact for partnership opportunities
- Contact for local public agencies
- Contact for CANS assessment referrals
- CME relationship manager contact
- Community partner contacts
If you have questions for a specific CME, please reach out to the individual listed on the corresponding CME’s flyer. Please direct your questions about the OhioRISE program to the OhioRISE mailbox.
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