Behavioral Health

At CareSource, we streamline our business practices to limit the administrative burden on you and our members. Our goal is to make it easier for you to help our members access the care they need. We strive to make it easy for our members to access the behavioral health services they need.

Save time. Save money. Use the secure Provider Portal.

This online tool lets you verify member eligibility, submit claims electronically, check claim status and more, all in one convenient location. Explore the resources available to you.

Provider Communications

CareSource understands that coordinated care is key to ensuring optimal outcomes for our members. We support behavioral health coordination across all interventions along the continuum of care. Visit these webpages for resources to support coordinated care with a holistic integrated approach.

Coordinating Integrated Care

CareSource understands that coordinated care is key to ensuring optimal outcomes for our members. We ensure that all of our providers have access to behavioral health resources and that behavioral health is integrated across all interventions.

We are committed to preventing suicide. Explore our Suicide Prevention Tool Kit for resources to help you integrate suicide prevention strategies into your practice.

In the battle against opioid abuse, we are taking action. Visit the Opioid Tool Kit for resources to support your practice and encourage best practices in opioid use and pain management.

OhioRISE

ODM is implementing OhioRISE (Resilience through Integrated Systems and Excellence), a specialized managed care program for youth with complex behavioral and multi-system needs. Aeta Better Health of Ohio serves as the OhioRISE specialized managed care plan.

CareSource will continue to provide physical health care coverage for OhioRISE plan members. We will support the OhioRISE program by taking an active role in collaborating and coordinating with Aetna Better Health of Ohio and other stakeholders identified as members of the youth’s Child and Family Team on the integrated physical and behavioral health care of shared members.

OhioRISE Overview – Access information about the OhioRISE program.
OhioRISE Community and Provider Training– Access materials and register for upcoming OhioRISE education seminars.
OhioRISE Information Brochure – View this brochure to get more information on OhioRISE, including eligibility, covered services, CANS assessments, contact information, and more.

OhioRISE Delivery System: Roles and Responsibilities

  • OhioRISE Quick Facts

    OhioRISE will go live July 1, 2022.

    All physical health services will continue to be reviewed by CareSource while behavioral health services will be managed through the OhioRISE provider, Aetna.

    OhioRISE members will have a new member ID card with Aetna branding.

    Providers will need to send claims and prior authorizations for behavioral health services to Aetna until the Fiscal Intermediary is live in Quarter 4, 2022. Please access the following resources for more information on claims and prior authorization submissions for behavioral health:

    OhioRISE Provider Enrollment and Billing Guidance

    OhioRISE Mixed Services Protocol

    Providers interested in contracting with Aetna to provide behavioral health services to children and youth enrolled in the OhioRISE program should contact Aetna Better Health of Ohio at one of the methods listed below:

    Phone: 1-855-364-0974

    Website: https://www.aetnabetterhealth.com/ohio/providers/jolin

    Email: OHRISE-NETWORK@aetna.com

Member Benefits

As a CareSource provider, you can easily access members’ benefits to best serve their needs.

Quality Improvement

CareSource continually assesses the quality of care and service offered to its members and implements programs to improve operational efficiency, delivery of health care services and health outcomes. We have established a Quality Improvement program to continually help us raise the bar on member care.