MedicaidAdministrativeLow impact
5160-59-03.2 - OhioRISE: care coordination. (Amend/Final File)
Ohio Medicaid·OH · Pediatrics, Psychiatry·Managed Care
Effective date
Jan 18, 2024
We identified it
Jun 20, 2026
Summary
OhioRISE care coordination policy has been amended with a final filing effective January 18, 2024. This appears to be a managed care policy update for Ohio Medicaid's specialized program for children and youth with behavioral health needs.
Action Required
Billing teams serving pediatric behavioral health patients in Ohio should review the updated OhioRISE care coordination requirements by accessing the full rule body from the Ohio Department of Medicaid. Contact Tommi Potter at 614-752-3877 for specific guidance on care coordination billing requirements.