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OhioRISE Community and Provider Training

 

The 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 access and inclusion and 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 (3) business days prior to the applicable scheduled meeting. Further information can be found here: Notice of Nondiscrimination.

Intensive and Moderate Care Coordination Training for CMEs

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 (July 2022) Date and Time Links
Moderate Care Coordination (includes foundations content) July 5 to July 6 from 8:30-4 p.m. Click here to register
Intensive Care Coordination (includes foundations content) July 6 to July 8 from 9-4 p.m. Click here to register
Intensive Care Coordination (includes foundations content) July 12 to July 14 from 9-4 p.m. Click here to register
Moderate Care Coordination (includes foundations content) July 13 to July 14 from 9-4 p.m. Click here to register
Intensive Care Coordination (includes foundations content) July 18 to July 20 from 9-4 p.m. Click here to register
Moderate Care Coordination (includes foundations content) July 21 to July 22 from 9-4 p.m. Click here to register
Moderate Care Coordination (includes foundations content) July 27 to July 28 from 8:30-3 p.m. Click here to register
Intensive Care Coordination (includes foundations content) July 28, July 29, and August 1 from 9-4 p.m. Click here to register

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

Facilitation Skills for Care Coordinators Training

  • Effective facilitation skills are a core competency for care coordinators. This training session will provide both a didactic and experiential learning environment for care coordinators to gain knowledge and practice essential facilitation skills. This is supplemental enhancement training. 
Session Type (July 2022) Date and Time Links
Facilitation Skills for Care Coordinators July 11 from 8:30-3:30 p.m. Click here to register
Facilitation Skills for Care Coordinators July 18 from 8:30-3:30 p.m. Click here to register
Facilitation Skills for Care Coordinators July 25 from 8:30-3:30 p.m. Click here to register

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

Family and Children First Council (FCFC) Forum 

OhioRISE PCSA Training Recording

Audience: PCSAs Title IV-E Courts, 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
  • Care management entities (CMEs) and care coordination 
  • Prior approval and prior authorization of OhioRISE services 
  • Member and caseworker journey

Click here to access the OhioRISE PCSA training recording.

Click here to access the OhioRISE PCSA training presentation. 

Claims, Prior Authorization Requests, and Care Planning Submission Training Deck

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 care management entities (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 Recording

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: we encourage 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 to attend this session. This may include staff of all levels within your organization.

We ask that you please help to distribute this invitation throughout your networks, especially to youth and families who may want to learn more about the waiver.  

Click here to access the OhioRISE 1915(c) Waiver training recording. 

Click here to access the OhioRISE 1915(c) Waiver 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 

Module 1 Training Recording

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

Topics covered: this first module covers an overview of OhioRISE and eligibility and enrollment. 

Click here to access the recorded Module 1 training. 

Click here to access the Module 1 presentation. 

Click here to access answers to questions received during the Module 1 training 

Module 2 Training Recording

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 access the recorded Module 2 training 

Click here to access the Module 2 presentation 

Module 3 Training Recording

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 acces the recorded Module 3 training

Click here to access the Module 3 presentation. 

Module 4 Training Recording

Audience: we encourage all local system community partners and providers who serve multisystem youth to attend. This may include staff of all levels within your organization. We are also inviting youth and families to attend Module 4 and appreciate your help in spreading the word! 

Click here to view the presentation deck

Click here to view the training recording

Topic covered: 

  • Local and statewide systems engagement

OhioRISE Developmental Disability System Training Recording

Audience: Boards and providers in the Developmental Disability System

Click here to view the training recording

Click here to view the presentation deck

OhioRISE Hospital Training Recording

Audience: Hospitals, children's hospitals

Click here to view the training recording

Click here to view the presentation deck

OhioRISE Juvenile Justice Training Recording

Audience: juvenile judges and court staff who work with children/adolescents

Topics covered: 

  • OhioRISE Overview
  • Child and Adolescent Needs and Strengths (CANS) tool 
  • OhioRISE court operations 
  • Care management entities (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 presentation 

Click here to access the recorded juvenile justice training 

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

Family and Children First Council (FCFC) Forum 

OhioRISE PCSA Training Recording

Audience: PCSAs Title IV-E Courts, 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
  • Care management entities (CMEs) and care coordination 
  • Prior approval and prior authorization of OhioRISE services 
  • Member and caseworker journey

Click here to access the OhioRISE PCSA training recording.

Click here to access the OhioRISE PCSA training presentation. 

Claims, Prior Authorization Requests, and Care Planning Submission Training Deck

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 care management entities (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 Recording

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: we encourage 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 to attend this session. This may include staff of all levels within your organization.

We ask that you please help to distribute this invitation throughout your networks, especially to youth and families who may want to learn more about the waiver.  

Click here to access the OhioRISE 1915(c) Waiver training recording. 

Click here to access the OhioRISE 1915(c) Waiver 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 

Coming Soon

Be on the lookout for additional communications from ODM in the coming months regarding trainings for other elements of the Ohio Medicaid Next Generation Program, including the Provider Network Management portal / Centralized Credentialing, Fiscal Intermediary, and the Single Pharmacy Benefit Manager.