MedicaidAdministrativeLow impact
5160-59-01.1 - OhioRISE: application of general managed care rules. (New/Final File)
Ohio Medicaid·OH · Psychiatry, Pediatrics·Enrollment
Effective date
Jul 1, 2022
We identified it
Jun 20, 2026
Summary
Ohio has finalized Rule 5160-59-01.1 establishing that general managed care rules will apply to the OhioRISE program, which provides specialized behavioral health services for children and youth. This creates consistency in enrollment and administrative procedures between OhioRISE and other Ohio Medicaid managed care plans.
Action Required
No immediate action required for most practices. Only providers serving OhioRISE members (specialized behavioral health services for children/youth in Ohio Medicaid) should review their enrollment and administrative procedures to ensure compliance with standard managed care rules.