Behavioral health services

Diagnostic Assessment to gather information and determine the best course of treatment for mental health or substance use disorders. Psychiatric Evaluation includes a physical and mental health assessment by a licensed medical provider who specializes in mental health treatment to prescribe and monitor medication.

Short-term relief to the primary caregiver(s) of members to support the caregiver and member relationship.

A CANS assessment is a tool used to determine eligibility for OhioRISE. It gathers the young person and family’s story to understand their needs and strengths, and to help determine the best ways to provide help. The CANS assessment is updated regularly to aid with ongoing care planning.

Services that help with coordination of appointments, benefits, basic needs, medication compliance and referral and linkage to formal and natural community supports.

Services provided by licensed behavioral health providers to identify concerns and develop individualized treatment plans to address mental health symptoms through therapy.

Services or supplies that meet a need, like improving a member’s opportunity to take part in the community (when the Medicaid state plan doesn’t cover these services or supplies). 

Substance abuse and behavioral hospital services provided by health providers.  

Intensive services to help stabilize and improve behavioral health provided by IHBT trained Ohio providers.

Prompt behavioral health services to ensure members are safe and get the supports and services they need from Ohio’s new MRSS providers.

Services provided by a licensed behavioral health medical provider to identify and coordinate beneficial medication, nursing and pharmacy services for mental health and substance use disorders.

OhioRISE covers out-of-state PRTF care for members who can’t access this level of treatment in Ohio. Starting in 2023, OhioRISE will include in-state PRTF care for members with the most intensive behavioral health needs, closer to their families and support systems.

Restoration, rehabilitation, and support to improve functioning and daily living skills for individuals with psychiatric disorders.

Drug testing and select laboratory services, psychological testing, health behavior assessments and screenings to help inform treatment services.

Services provided by licensed or trained, qualified paraprofessionals that integrate treatment goals in home and community-based settings.

Intensive, individualized behavioral support that helps to manage emotional disorders.

Services provided by psychiatrists, psychologists, licensed clinical social workers, licensed professional counselors, licensed addiction counselors, mental health clinics, mental health rehabilitation service providers (public or private), and rehabilitation substance use centers.

Services provided by substance abuse and behavioral health providers.

Out-of-home respite: A service provided to individuals unable to care for themselves that is furnished on a short-term basis because of the absence or need for relief of those persons who normally provide care for the individual.

Transitional Services and Supports (TSS): Designed to provide family stability supports for the youth, primary caregiver and family as a pathway to creating a stable environment in the home. It is shorter term supports for individuals and their families to help them understand, mitigate, and provide connections to long-term solutions that address behavior challenges.

Secondary Flex Funds: Like Primary flex funds but allows for $3,000 within 365 days and must address an identified need in the service plan, including improving and maintaining the individual’s opportunities for full participation in the community. Also includes $2,000 emergency funds, if both primary and secondary have been used and excluded from cost cap. Primary flex funds must be used first.