OHIO
Aetna
Aetna OhioRISE
PROGRAMS FOR
Mental/Behavioral Needs (18 and under)
Multisystem Needs (0-20 yrs)
WHAT’S NEW
- Ohio Medicaid selects Aetna Better Health of Ohio for Specialized, Child-Focused Managed Care Plan
- Learn more about the offerings and purpose, offerings and services of the OhioRISE Medicaid Program
Overview
This program is a specialized, child-focused Plan that purchases goods and services for individuals with mental and behavioral need 0-20 yrs of age.
Participants can
Use MyAccount to review your budget and approved services.
Services include
Payroll – We process payroll for your caregiver using money from your budget.
Customer service – Our friendly and professional customer service agents are available five days a week to help you with any questions.
Service reports – With our reports you’ll always have a clear picture of the services you’ve received.
- Services including diagnostics and monitoring, drug therapy, dental and nutrition services
- Medicaid spend-down payments
- Health insurance premium payments
- Emergency financial assistance
- Health insurance processing – PPL processes health insurance and Medicaid spend-down payments on behalf of the participant
- Medicaid spend-down payments – PPL processes health insurance and Medicaid spend-down payments on behalf of the participant
How to get started
Are you wondering if self-direction is right for you or your loved one?
MyAccount
MyAccount has everything you need to make sure your self-direction journey is a success. Designed for participants and caregivers, it lets you complete and check all required paperwork, timesheets, budgets and spending, with a focus on making the enrollment process easy.
It’ll make smooth sailing of any choppy waters you encounter while you’re getting set up, giving you the answers and forms you need, right when you need them.
Log in
Our complete web app puts everything you need as a self-director (or case manager, or caregiver!) right at your fingertips.
Program Documents
FILTER DOCUMENTS
Trainings & How to Guides
MyAccount ODM Vendor Guide NEWProcedures & Information
Aetna Better Health of Ohio, OhioRISE Overview for Community Partners Aetna Better Health of Ohio, OhioRISE information brochure OHRISE Pay Schedule 2024 Press Release – Ohio Medicaid selects Aetna Better Health of Ohio for Specialized, Child-Focused Managed Care Plan Verification of Employment Instructions NEWReferral & Enrollment Process
USCIS Form I 9 Instructions, Spanish (FOR REFERENCE ONLY) USCIS Form I 9, Spanish (FOR REFERENCE ONLY) USCIS Form I-9 USCIS Form I-9 InstructionsMyAccount
OhioRise MyAccount Care CoordinatorContact Information
Customer Service Hours:
Monday – Friday: 8am – 7pm | ET
Customer Service / General Questions:
1-833-771-1833
Customer Service Email:
PPLOhioRISE-CS@pplfirst.com
Aetna Customer Service Phone:
1-833-711-0773