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Important Information from Ohio Council regarding Ohio Rise




As you know, the new OhioRISE Medicaid managed care plan goes live this Friday 7/1/22. In order to assist members with this implementation and the necessary changes we created an OhioRISE operations implementation checklist. This resource outlines the operational and billing changes organizations should consider, links to OhioRISE resources, and contact information for the CMEs and Aetna teams.


Additionally, last Thursday, the Ohio Department of Medicaid (ODM) announced the full package of proposed OhioRISE Ohio Administrative Code (OAC) rules were reviewed by the Joint Committee on Agency Rule Review (JCARR) and final filed to become effective on July 1 for the launch of OhioRISE. ODM held 49 advisory councils and workgroup meetings and worked with stakeholders to develop this final package of rules and expressed appreciation for the work and support through this process.


You can visit the Register of Ohio website at or click on the below links to view the final filed OhioRISE rules:

All final files OhioRISE rules will be available on the Ohio Administrative Code rule webpage at on July 1, 2022.  


If you have any questions about implementation or the rules, please reach out to me.

Also, I wanted to announce that Behavioral Health Billing Solutions (BHBS) is hosting an event in partnership with Aetna Ohio Rise and Etactics clearing house. Tickets will be available Wednesday, June 29th. The event will be held August 5th, 2022 at Quest Conference Center in Columbus. May sound familiar because it’s the same place. They helped us have our event 3 years ago and it nice to feel confident about going back.

The agenda so far will be BHBS, Aetna, and Ohio Council but we are working out specifics now. Can’t wait to get back to Ohio and see all of you!!