Cadence Care Network To Serve As Mahoning-Trumbull OhioRISE Care Management Entity
We’re thrilled to have been chosen by Aetna and the Ohio Department of Medicaid to be Mahoning and Trumbull counties’ Care Management Entity for the OhioRISE program.
We are working in partnership with the Child and Family Health Collaborative to provide care coordination and build community resources – wraparound services – to serve children and youth, families and caregivers, and system partners … with the overarching goal being to improve the care for children with complex needs in our region.
Cadence Care Network is one of 20 CMEs across Ohio that received grant funding from Aetna Better Health of Ohio, the OhioRISE managed care provider, to add the capacity and infrastructure needed to implement the program and align it with similar resources around the state.
Care Coordinators with Cadence Care Network will work with children and families who qualify for services – projected to be up to 2,400 across the Mahoning Valley – by helping them seamlessly navigate through the variety of systems and community resources they need to receive top-notch care … from juvenile justice, child protection, developmental disabilities, mental health and addiction to education and many others.
Now through the July 1 kickoff of OhioRISE, we’ll be onboarding new staff and building the IT systems we need to help transform how complex mental and behavioral health services are delivered in the Mahoning Valley.
OhioRISE (Ohio Resiliency through Integrated Systems of Excellence) is a reimagined Medicaid system and structure of services to better serve children and youth with complex behavioral health needs, as well as their families/caregivers.
The program was developed in a collaborative effort between the Ohio Department of Medicaid (ODM), the Governor’s Office of Children’s Initiatives, and the Ohio Family and Children First Cabinet Council.
Who is eligible for OhioRISE?
The criteria used to determine who is eligible for OhioRISE includes children and young adults who:
Are enrolled in Ohio Medicaid
Are between the ages of 0 and 20
Meet a functional needs threshold for behavioral health care
Identified by the Child and Adolescent Needs and Strengths (CANS) tool
OhioRISE will use a rolling enrollment model to transition individuals into the program. This means that following a CANS assessment, youth who are determined to be eligible for OhioRISE will be enrolled as of the date their CANS assessment is submitted.