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Behavioral health services

OhioRISE coverage from Aetna Better Health® of Ohio is specialized behavioral healthcare for youth. We have a system of care that revolves around your needs. You can also use any behavioral health provider in our network.

Questions?

Just call us at 1-883-711-0773 (TTY: 711) from 7 a.m. to 8 p.m., Monday through Friday. Or, check your member handbook on our materials and forms page page to learn more.

Help in a crisis

Help in a crisis

Life-threatening emergencies

 

Call 911 or go to the nearest hospital if you’re having a life-threatening emergency and need help right now. You can use any hospital for emergency care, even if it isn’t in our network. Just show your member ID card.

 

Other types of emergencies

 

Call our behavioral health hotline at 1-833-711-0773 (TTY: 711). Then, choose the crisis option.

 

  • From 8 a.m. to 5 p.m.: we’ll connect you with a care coordinator.
  • After hours: we’ll connect you with the state crisis line.

No matter what time of day, you’re not alone. We have resources in place to help you in a crisis.

 

You can also find other local resources and services in your own community.

Care coordination

Care coordination

Our care coordinators are here for you. These are behavioral health specialists who know how to serve children, youth, and their families/caregivers. They understand behavioral health and can help you get care based on your specific needs.

 

Learn more about care coordination

We’ve got you covered

 

Behavioral health benefits cover treatment for mental health and substance use disorders. We work with providers who offer treatment options to help members feel better and support recovery. There is no need for a primary care physician (PCP) referral. But, ensure you get care from any provider in our network.

Diagnostic Assessment to gather information and determine the best course of treatment for mental health or substance use disorders. Psychiatric Evaluation includes a physical and mental health assessment by a licensed medical provider who specializes in mental health treatment to prescribe and monitor medication.

Short-term relief to the primary caregiver(s) of members to support the caregiver and member relationship.

A CANS assessment is a tool used to determine eligibility for OhioRISE. It gathers the young person and family’s story to understand their needs and strengths, and to help determine the best ways to provide help. The CANS assessment is updated regularly to aid with ongoing care planning.

Services that help with coordination of appointments, benefits, basic needs, medication compliance and referral and linkage to formal and natural community supports.

Services provided by licensed behavioral health providers to identify concerns and develop individualized treatment plans to address mental health symptoms through therapy.

Services or supplies that meet a need, like improving a member’s opportunity to take part in the community (when the Medicaid state plan doesn’t cover these services or supplies). 

Substance abuse and behavioral hospital services provided by health providers.  

Intensive services to help stabilize and improve behavioral health provided by IHBT trained Ohio providers.

Prompt behavioral health services to ensure members are safe and get the supports and services they need from Ohio’s new MRSS providers.

Services provided by a licensed behavioral health medical provider to identify and coordinate beneficial medication, nursing and pharmacy services for mental health and substance use disorders.

OhioRISE covers out-of-state PRTF care for members who can’t access this level of treatment in Ohio. Starting in January 2023, OhioRISE will include in-state PRTF care for members with the most intensive behavioral health needs, closer to their families and support systems.

Restoration, rehabilitation, and support to improve functioning and daily living skills for individuals with psychiatric disorders.

Drug testing and select laboratory services, psychological testing, health behavior assessments and screenings to help inform treatment services.

Services provided by licensed or trained, qualified paraprofessionals that integrate treatment goals in home and community-based settings.

Intensive, individualized behavioral support that helps to manage emotional disorders.

Services provided by psychiatrists, psychologists, licensed clinical social workers, licensed professional counselors, licensed addiction counselors, mental health clinics, mental health rehabilitation service providers (public or private), and rehabilitation substance use centers.

Services provided by substance abuse and behavioral health providers.

Out-of-home respite: A service provided to individuals unable to care for themselves that is furnished on a short-term basis because of the absence or need for relief of those persons who normally provide care for the individual.

 

Transitional Services and Supports (TSS): Designed to provide family stability supports for the youth, primary caregiver and family as a pathway to creating a stable environment in the home. It is shorter term supports for individuals and their families to help them understand, mitigate, and provide connections to long-term solutions that address behavior challenges.

 

Secondary Flex Funds: Like Primary flex funds but allows for $3,000 within 365 days and must address an identified need in the service plan, including improving and maintaining the individual’s opportunities for full participation in the community. Also includes $2,000 emergency funds, if both primary and secondary have been used and excluded from cost cap. Primary flex funds must be used first.  

 

More care coordination resources

$20 reward for a follow-up visit with a mental health practitioner: for members aged 6 years and older.

Supplies to calm the impact of trauma, such as a sound machine, aromatherapy, light-therapy products or weighted pillow/blankets: for eligible members. Connect with your care coordinator for more information.

Help with career and life skills, with:

 

  • Access to a no-cost job skills training platform to discover new career paths, earn credentials and certifications, and highlight skills to local employers.
  • Trade skill development and GED certifications.
  • Vouchers to pay for the GED exam after passing the GED online prep course.

 

These are additional benefits which are separate from the OhioMeansJobs program. Members aged 16 and older will receive a supplement to the OhioMeansJobs program. You can take part in both programs. It’s your choice.

No-cost tablet or laptop, with:

 

  • Education and training on technology.
  • Connection to key local and national resources.

 

OhioRISE members in foster care may be eligible for this benefit. Connect with your care coordinator for more information.  

$50 toward:

 

  • Home exercise
  • Gym memberships
  • Sports supplies
  • After-school programs

 

Parents, caregivers or representatives of eligible members who complete two virtual family nutritional counseling sessions are eligible for these benefits. Members aged 6 to 16 years with an obesity diagnosis and members prescribed antipsychotic are also eligible.


An online/mobile app platform to improve emotional health, with tools to overcome:

 

  • Stress
  • Depression
  • Anxiety
  • Substance misuse
  • Chronic pain

 

myStrength is confidential and here for you 24 hours a day, 7 days a week, and 365 days a year for members aged 13 and older. 

 

Learn more about behavioral health

Learn to manage stress

Did you know that stress can affect your health? It can be hard to keep up with healthy habits during times of stress.

 

You can check these sources to learn more about mental and emotional well-being: 

 

Staying mentally healthy in tough times

 

Understanding depression

 

Healthy living resources

 

4 ways to take care of physical and mental well-being during unsettled times

 

National Institute of Mental Health

 

Substance use disorders happen when people misuse drugs, alcohol or both, repeatedly. 

 

Learn more about substance use disorders

 

Or find more information from:

 

Alcoholics Anonymous® website

 

Substance Abuse and Mental Health Services Administration (SAMHSA) website

 

 

Mental health disorders can be serious. They can change a person’s thinking, feeling, mood and daily functioning. They affect 1 in 4 adults and 1 in 10 children per year.

 

Mental health disorders include:

 

  • Depression

  • Schizophrenia

  • Bipolar disorder

  • Obsessive-compulsive disorder (OCD)

  • Post-traumatic stress disorder (PTSD)

  • Anxiety

  • Borderline personality disorder

 

For more information, visit the National Alliance on Mental Illness (NAMI) website.

 

There, you can learn about the different support programs NAMI offers, including:

 

  • Peer-to-Peer

    A no-cost course for anyone living with mental illness. Those who join can learn about coping skills and self-care.

  • Family-to-Famil

    A no-cost course for family caregivers of adults living with mental illness. It teaches communication and problem-solving skills to help them deal with the impact on the family.

  • StrengthOfUs.org

    An online social community for teens and young adults living with mental illness. It’s a place for them to connect and learn about services.