Important News for Ohio Medicaid Members

Focus on the Individual rather than the business of managed care

Ohio Department of Medicaid

Ohio Medicaid Member News

March 5, 2024


Ohio Medicaid Member News, formerly known as the ODM Periodical, is a short, periodic email update on the progress of the ODM strategic initiatives for individuals who receive services through Ohio Medicaid.


In This Issue:


OhioRISE logomark

Do you want to learn more about the OhioRISE program? Check out the Resources for Members and Families webpage!

Ohio Department of Medicaid’s OhioRISE program is a specialized managed care program for youth with complex behavioral health needs. If you are interested in learning more about the OhioRISE program, eligibility requirements, and the referral process check out Resources for Members and Families webpage which has everything you need to know! 

Who can benefit from the OhioRISE program? 

Children and youth who… 

  • Have multiple needs that result from behavioral health challenges. 
  • Have needs that involve multiple state and local supports or are at risk for deeper system involvement. 
  • Are at risk of out-of-home placement or are returning to their families from out-of-home placement. 

Who is eligible for the OhioRISE program?  

Children and youth who may be eligible for OhioRISE must meet each of the following criteria: 

If you know a youth and family struggling with mental health challenges, tell them to visit the CANS referral resource and contact the OhioRISE mailbox with questions. 

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Gov. DeWine, Department of Aging launch Ohio Nursing Home Quality Navigator

Dept of Aging - Nursing home couple

On Wednesday, Feb. 21, Governor Mike DeWine held a press conference with Ohio Department of Aging Director Ursel J. McElroy to announce launch of the new Ohio Nursing Home Quality Navigator – an all-in-one online resource for Ohioans seeking nursing home care.

The Navigator – which is now online at Aging.Ohio.Gov/Navigator – provides users with detailed information about every nursing home across the state in one convenient digital location. The tool is free and is available by computer, smartphone, or tablet.

The Navigator allows Ohioans to find nursing homes in their area by searching for their city, town, or zip code. Entering these search terms will generate a map of that area and highlight the nursing homes within a range of anywhere from five to 100 miles. Ohioans can then see a list of those nursing homes and select one for further details about that facility.

Data available for each facility includes its number of beds, its Centers for Medicare and Medicaid Services (CMS) Five-Star Quality Rating, resident and family satisfaction survey scores, staffing data, and other information provided by the facility, such as whether it allows pets, alcohol, or smoking, any religious affiliation, and what special care services it might offer. Users can select multiple nursing homes and view a side-by-side comparison in multiple categories.

The Navigator also provides each nursing home’s phone number and website and includes an instant share feature, allowing users to text or email facility contact information to their loved ones with the click of a button.

The Navigator is the result of the work of the Ohio Governor’s Nursing Home Quality & Accountability Task Force, a group of leading experts in the fields of aging, health care, and long-term care, organized by Governor DeWine to study opportunities to improve all stages of the nursing home journey. This tool represents a new opportunity for Ohioans to get accurate, up-to-date information about their long-term care options quickly and conveniently, without having to search through multiple websites.

For more information about the Navigator, visit the Ohio Department of Aging’s website at Aging.Ohio.gov/Navigator.

Press release & press conference: https://aging.ohio.gov/see-news-and-events/news/nursing-home-navigator-launched.

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Feel free to distribute the information contained within this update to your colleagues, organization's members, or with anyone who you think might find it useful. We want all Ohioans to know what is going on with ODM's strategic initiatives.

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