MedicaidAdministrativeLow impact
5160-59-03.5 - OhioRISE: primary flex funds. (Amend/Final File)
Ohio Medicaid·OH · Psychiatry, Pediatrics·Managed Care
Effective date
Mar 17, 2024
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid has finalized an amendment to Rule 5160-59-03.5 regarding OhioRISE primary flex funds, effective March 17, 2024. This rule pertains to managed care services under Ohio's RISE (Resilience through Integrated Systems and Excellence) program for children with complex behavioral health needs.
Action Required
Review policy document details at the source URL to understand specific billing requirements for OhioRISE primary flex fund services. Billing teams handling Ohio Medicaid managed care should verify if their practice serves RISE-eligible children and ensure compliance with updated flex fund guidelines.