Apr 14, 2026
OhioRise Enrollment Will Begin On The First Day Of The Month Of Eligibility
OhioRise Enrollment Will Begin On The First Day Of The Month Of Eligibility
Starting July 01, 2026, OhioRISE enrollment will begin on the first day of the month a member becomes eligible.
This update comes from the Ohio Department of Medicaid under rule 5160-59-02. The change aligns enrollment with managed care timelines and reduces the need for retroactive enrollments, especially for inpatient behavioral health cases.
What providers should know?
- Review workflows for services provided before and after the enrollment date
- Submit claims based on the updated OhioRISE timeline
- Coordinate with managed care plans, which remain responsible for CANS assessments completed before enrollment
- Track updates to the OhioRISE Mixed Services Protocol as the change rolls out
Questions? Support is available.
Providers can connect through 24/7 chat via the UnitedHealthcare Provider Portal.
