MedicaidAdministrativeLow impact
[Ohio] OhioRISE eligibility and enrollment update effective
Anthem BCBS·OH · Pediatrics, Psychiatry·Network
Effective date
Jul 1, 2024
We identified it
May 3, 2026
Summary
OhioRISE program has updated eligibility and enrollment requirements effective July 1st. This is a specialized Medicaid program for children and youth with complex behavioral health needs in Ohio.
Action Required
Ohio providers serving pediatric behavioral health patients: Review updated OhioRISE eligibility criteria at the provided URL to ensure proper enrollment verification. Confirm patient eligibility before providing services to avoid claim denials.