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OhioRISE

OhioRISE — specialized behavioral healthcare from Aetna Better Health® of Ohio — is coming July 2022. If you are a provider who’d like to join, just email our network department to learn more.

 

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What is OhioRISE?

What is OhioRISE?

The Ohio Department of Medicaid (ODM) chose us to serve as the specialized managed care plan for children with the most complex behavioral health needs. We're a team in a system of care that provides support to youth, families and their circles of support. It’s a new, whole-family approach to care in Ohio.

 

Our approach to behavioral health

 

We help members find their way to specialized behavioral health services and support close to home, in their own communities. And we help coordinate care with local behavioral health providers and other resources. Working together, we can address gaps in Ohio’s healthcare system with new, intensive, coordinated services for youth and families statewide.

 

You can check out our flyer and brochure to learn more.

Helpful resources

Be sure to check out these resource links for more information.

Our provider network

Our provider network

We’ll work with you to understand your business and meet your needs. When you take part in our provider network, you benefit from:

 

  • Outcomes-based payment innovations and competitive compensation
  • Timely and efficient claims processing
  • Strategies that leverage your unique strengths and support services
  • Agreements and operating relationships responsive to systemic and individual member issues
  • Ongoing support and learning opportunities 
  • Advanced technology to help enhance patient care 

Provider orientation: live webinar

 

Providers can join a live webinar for provider orientation. In this session, you’ll learn about working with Aetna Better Health, including our overall processes and policies.

 

You’ll learn about key topics, including:

 

  • What is the OhioRISE program?
  • What is your role/responsibility as a network provider?
  • How does the Provider Portal work?
  • Where are claims submitted?
  • Where can you send authorizations?
  • What is care management?
  • How do you communicate with Aetna Better Health of Ohio?

 

Session dates and time

 

We offer six (6) training date options. Registration is required for you to join.

Time: 12 p.m. to 1:30 p.m. ET

Dates

 

  • Monday, June 13, 2022
  • Friday, June 17, 2022
  • Wednesday, June 22, 2022
  • Friday, June 24, 2022
  • Monday, June 27, 2022
  • Wednesday, June 29, 2022

 

How to register

 

To register for a session, just send us an email and make sure it includes this information:

 

  • Subject line: Provider Orientation
  • Session date for requested training
  • Name of practice/organization
  • Tax ID number
  • Name of each person attending and their title and their email addresses
  • Contact phone number

 

What happens next?

 

  • Once we receive your email, you’ll get an email confirming your registration.
  • On the day of your training session, an email link to the Webex session will be emailed to each registered participant.

 

Questions?

 

Just contact Shannon Davis. You can reach out to her via email.

 

 

Other training resources

 

CME and Provider Training presentation (PDF)

 

You can make a difference

Providers, families, and community members can get involved in many ways. Read about the different committees and groups where you can share your voice.