MedicaidAdministrativeLow impact
5160-59-04 - OhioRISE home and community-based services waiver: eligibility and enrollment. (Amend/Final File)
Ohio Medicaid·OH · Psychiatry, Pediatrics, Family Medicine·Enrollment
Effective date
Jun 23, 2025
We identified it
Jun 20, 2026
Summary
Ohio has updated the eligibility and enrollment rules for the OhioRISE home and community-based services waiver program. This is an amendment to existing Medicaid waiver services for children and youth with complex behavioral health needs.
Action Required
Ohio providers serving Medicaid patients under age 21 with behavioral health needs should review updated OhioRISE waiver eligibility criteria. Contact Ohio Department of Medicaid at 614-752-3877 for specific enrollment requirements that may affect patient eligibility for home and community-based services.