Web Content Viewer
Actions

OhioRISE Community and Provider Training

 

Ohio Department of Medicaid (ODM) is committed to providing OhioRISE community partners and providers with the resources and tools necessary to ensure OhioRISE members receive the care and support they need. Together with Aetna Better Health of Ohio, the Child and Adolescent Behavioral Health Center of Excellence (COE) and state agencies, ODM has developed and facilitated trainings that cover a range of topics including OhioRISE implementation, systems, and operations. 

Each OhioRISE community and provider training module was presented live, and the recordings of each training are available on this page. ODM encourages all community partners and providers who will deliver OhioRISE services and supports to OhioRISE-enrolled youth and their families review each module, as applicable.

ODM is committed to providing accessibility, inclusion, and providing reasonable accommodation in its services, activities, programs, and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws. To request a reasonable accommodation due to a disability, please contact ODM’s ADA coordinator at 614-995-9981/TTY 711, fax 1-614-644-1434, or email ODM_EEO_EmployeeRelations@medicaid.ohio.gov at least three business days prior to the scheduled meeting. Further information can be found here: Notice of Nondiscrimination.

Intensive and Moderate Care Coordination Training for Care Management Entities (CME)

Please note: 

  • If you are seeking training in Intensive Care Coordination (ICC), you must attend 3 consecutive days of training.
  • If you are seeking training in Moderate Care Coordination (MCC), you must attend 2 consecutive days of training. 
  • After you register once, you will be given access to the link for all of the necessary training days.
  • If you with to be trained in both ICC and MCC, you will need to complete the full training for each specialty (3 days of ICC and 2 days of MCC).
Session Type  Date and Time Links
Moderate Care Coordination  November 21 and November 22 from 9 a.m.-4 p.m.  Click here to register 
Intensive Care Coordination  November 28 to November 30 from 9 a.m.-4 p.m. Click here to register
Moderate Care Coordination  December 12 to December 13 from 9 a.m.-4 p.m.  Click here to register 
Intensive Care Coordination December 15 to 19 from 9 a.m.-4 p.m. Click here to register 

Learn more about additional care coordination training available in November and December, including facilitation skills training, safety and crisis planning for care coordinators, and systems of care applied learning. 

If you need to cancel a virtual COE training, you can cancel your registration by doing the following: 

  1. Find your auto-generated registration link.
  2. Open your auto-generated registration link and scroll to the bottom.  
  3. Find the "cancel this registration" section and click the link.

If you need additional assistance you can email Amy Pickens at amy.pickens@case.edu and request assistance with cancellation.

Module 1 Training 

Audience: local system partners and providers that serve multi-system youth to attend. This includes staff of all levels within your organization. 

Topics covered:

  • Overview of OhioRISE eligibility and enrollment. 

Click here to view the training recording.

Click here to view the training presentation.

Click here to view answers to questions received during training.

Module 2 Training 

Audience: local system partners and providers that serve multi-system youth to attend. This includes staff of all levels within your organization. 

Topics covered: 

  • Referrals and care coordination.
  • System of care integration.

Click here to view the training recording.

Click here to view the training presentation.

Module 3 Training 

Audience: providers and any local system and community partners that serve multisystem youth who are interested in learning about these topics. This may include staff of all levels within your organization. 

Topics covered: 

  • Enrollment.
  • OhioRISE services.
  • Billing and claims.
  • IT systems.

Click here to view the training recording.

Click here to view the training presentation.

Module 4 Training 

Audience: All local system community partners and providers who serve multisystem youth. This may include staff of all levels within your organization. Youth and families were also invited to attend this training.

Topic covered: 

  • Local and statewide systems engagement.

Click here to view the training recording.

Click here to view the training presentation.

OhioRISE Developmental Disability System Training 

Audience: Boards and providers in the Developmental Disability system.

Click here to view the training recording.

Click here to view the training presentation.

OhioRISE Hospital Training 

Audience: Hospitals, including children's hospitals.

Click here to view the training recording.

Click here to view the training presentation.

OhioRISE Juvenile Justice Training 

Audience: Juvenile judges and court staff who work with children and adolescents.

Topics covered: 

  • OhioRISE overview.
  • Child and Adolescent Needs and Strengths (CANS) tool.
  • OhioRISE court operations.
  • CMEs and system of care.
  • Differences between Qualified Residential Treatment Program (QRTP) and Psychiatric Residential Treatment Facility (PRTF).
  • Eligibility for OhioRISE juvenile justice involved youth.

Click here to view the training recording.

Click here to view the training presentation.

Please note, you will need to enter this passcode to access the training: $7gE@Nf1

Family and Children First Council (FCFC) Forum 

The below OhioRISE office hours provide opportunities for you to raise additional questions to OhioRISE subject matter experts to help implement and operationalize the program.

FCFC OhioRISE Office Hours 

All FCFCs are invited to attend these office hours available bi-weekly on Wednesdays from 4-5 p.m. starting July 20 to September 28. 

Meeting Date and Time Meeting Link
Every second Wednesday from 4-5 p.m. starting July 20 through 2022. Click here to join

OhioRISE Public Children Services Association (PCSA) Training 

Audience: PCSAs, Title IV-E courts and state agencies.

Topics Covered: 

  • OhioRISE overview.
  • OhioRISE services.
  • Eligibility for OhioRISE and the CANS.
  • CANS IT System.
  • OhioRISE referrals.
  • Day one enrollment.
  • OhioRISE and Ohio SACWIS.
  • CMEs and care coordination.
  • Prior approval and prior authorization of OhioRISE services.
  • Member and caseworker journey.

Click here to view the training recording.

Click here to view the training presentation. 

The below OhioRISE office hours provide opportunities for you to raise additional questions to OhioRISE subject matter experts to help implement and operationalize the program.

PCSA OhioRISE Office Hours 

All PCSAs are invited to attend these office hours available each Friday from 10-11 a.m. starting July 22 until October 28.

Meeting Date and Time Meeting Link
Every Friday from 10-11 a.m. starting July 22 through 2022.  Click here to join

Claims, Prior Authorization Requests, and Care Planning Submission Training 

The Ohio Department of Medicaid’s centralized credentialing and claims/prior authorization submission systems will be implemented later this year. Prior to implementation of the centralized systems, providers of OhioRISE services will need to submit claims and prior authorization requests directly to Aetna Better Health of Ohio, the OhioRISE plan. We encourage you to view the training slides Aetna presented in May below. Please reach out to OHRISE-Network@aetna.com for any questions. 

Audience: Providers and CMEs. 

Topics covered:

  • Submitting and checking the status of claims.
  • Submitting and checking the status of prior authorizations.
  • How to submit, review, or change child and family centered-care plans.

Click here to view Aetna's training presentation.

OhioRISE 1915(c) Waiver Training 

ODM invites you to attend the OhioRISE 1915(c) Home and Community Based Waiver training to make you aware of and help to prepare for implementing the OhioRISE program in July 2022. As a part of the OhioRISE program, ODM will utilize waivers that provide ODM with more flexibility when implementing Medicaid programs. We will utilize a Home and Community-Based services (HCBS) 1915(c) waiver to help youth needing services and support to stay in their home and communities, rather than in institutions.  

Audience: youth and families, all local system and community partners, direct service providers, state agencies, managed care entities, and others interested in learning about the OhioRISE 1915(c) Home and Community Based Waiver. This may include staff of all levels within your organization.

Click here to view the training recording.

Click here to view the training presentation.

Topics covered: 

Segment 1 (1-2:40 p.m.) Segment 2 (2:50-3:30) p.m.
  • Waiver overview.
  • Services.
  • Billing and coding.
  • Eligibility for the waiver.
  • Waiver slots.
  • Provider types/provider qualifications.
  • Billing.
  • Coding.
  • Reimbursement.
  • Other provider responsibilities.