 OhioRISE is a specialized managed care program for youth with complex behavioral health and multisystem needs. Ohio Department of Medicaid recently published the September edition of the new OhioRISE community newsletter, RISE Together. This newsletter features OhioRISE success stories, care management entity (CME) spotlights, OhioRISE champion stories, program updates, and information on how to enroll in OhioRISE.
Sign-up for the RISE Together mailing list to receive the new OhioRISE monthly newsletter. View the September edition of the OhioRISE newsletter by visiting the OhioRISE website. If you have questions or an idea for a newsletter story or featured article reach out to OhioRISE@medicaid.ohio.gov.
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Are you an Ohio Medicaid managed care member? Ohio Department of Medicaid wants to be sure you know where to go with questions about your managed care healthcare benefits or the Ohio Medicaid managed care program. There are many helpdesks available to answer your questions. Below we outline the contacts and issues each can best support.
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Help Desk
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Support Provided
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Ohio Medicaid Consumer Hotline
800-324-8680 (TTY 711)
Monday through Friday: 7 a.m. – 8 p.m. Eastern time (ET)
Saturday: 8 a.m. – 5 p.m. ET
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Best contact for issues/questions about:
- Medicaid applications and renewals.
- Update your contact information.
- Ohio Medicaid program benefits and services.
- Selecting or switching managed care plans.
- Finding an Ohio Medicaid provider.
- Finding where to go to see if your child or youth qualifies for specialized behavioral health services through OhioRISE.
- Receiving services from a Medicaid provider.
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Managed Care Plan Member Hotlines (including Aetna OhioRISE plan)
- Aetna Better Health of Ohio: 833-711-0773
- AmeriHealth Caritas Ohio, Inc.: 833-764-7700
- Anthem Blue Cross and Blue Shield: 844-912-0938
- Buckeye Health Plan: 866-246-4358
- CareSource: 800-488-0134
- Humana Healthy Horizons in Ohio: 877-856-5702
- Molina HealthCare of Ohio, Inc.: 800-642-4168
- UnitedHealthcare Community Plan: 800-895-2017
Hours vary by managed care plan
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Best contact for issues/questions about:
- Value-added benefits and services provided by the plan.
- Receiving services through the plan.
- Finding a provider in network with the plan.
- Non-emergency transportation not covered by a County Department of Job and Family Services.
- Direct referral to see if your child or youth qualifies for specialized behavioral health services through OhioRISE.
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County Job and Family Services
https://medicaid.ohio.gov/home/update-contact-info/update-contact-info
Hours vary by county agency, generally open 8 a.m. – 4 p.m. ET
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Best contact for issues/questions about:
- Managed care, Supplemental Nutrition Assistance Program (SNAP), Temporary Assistance for Needy Families (TANF), or childcare case specific questions.
- Submit requested documents related to your eligibility.
- Non-emergency medical transportation covered by County Job and Family Services.
Can also support with:
- Medicaid applications, renewals, report changes and update contact information.
- Ohio Medicaid program benefits and services.
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In addition to the help desks mentioned above, you can also find additional resources to answer your questions at https://ohiomh.com/.
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Ohio Department of Medicaid’s (ODM) managed care plans provide added benefits to meet each of your needs. To help you choose the plan that best fits your healthcare needs, ODM has developed Ohio Medicaid’s Managed Care Organizations Health Plan Comparison. This document provides an overview of the services that all plans must provide, and the value-added services provided by each plan.
You can choose a plan at any time until the end of open enrollment through November 30 by visiting www.ohiomh.com or contacting the Ohio Medicaid Consumer Hotline at 800-324-8680. Representatives are available Monday through Friday 7 a.m. – 8 p.m. Eastern time (ET) and Saturday 8 a.m. – 5 p.m. ET.
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Did you know that Ohio Medicaid regularly sends important information to members? It is very important that you keep your contact information up to date to stay informed about your Ohio Medicaid plan and coverage.
Be sure to gather your most up to date information, including your name, home address, mailing address, phone number, and email address. Once you have that information, there are three ways that you can update your contact information:
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Call the Ohio Medicaid Consumer Hotline: The Ohio Medicaid Consumer Hotline will connect you with a representative who can help you update your contact information. The Ohio Medicaid Hotline is available at 800-324-8680. Representatives are available Monday through Friday 7:00 a.m. and 8:00 p.m. Eastern time (ET) and Saturday 8:00 a.m. and 5:00 p.m. ET.
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Online Portal: If you have an Ohio Benefits Self-Service Portal account, you can login and report changes to your contact information.
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Contact your local County Department of Job and Family Services: You will speak directly with a case worker who can update your information.
To learn more or to find your county agency’s contact information, please visit the Update Contact Information webpage on the Next Generation website.
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