Materials, forms and links

• Provider manual (7.2024) (PDF)
• OhioRISE Mixed Services Protocol Introduction (PDF)
• Sub-Specialty
• OhioRISE Provider Agreement Contract (PDF)

7078 and OH ID instructions (PDF)

MATS external user guide (PDF)

Introduction: MATS Initial Application Training 2.2025 (PDF)

ODM Code of Responsibility (PDF)

• MSY- Families with Private Insurance (PDF)
• MSY Update Section Reference Slides (PDF)
• MSY Overview Process (PDF)
• MSY Provider Orientation (PDF)
• MSY Provider Agreement (PDF)
• Multi System Youth Training Video
• MSY Initial Application Signature Pages (PDF)
• MSY Initial Application Form, Version 5.2 (PDF)
• OhioRISE Example-MSY Initial Application Form (PDF)
• MSY New Application Training Form (PDF)
• J. Birch MSY Update and Final Application Example (PDF)
• J. Birch Update Example Signature Pages (PDF)
• J. Birch Update Example Signature Pages (PDF)
• J. Jump MSY Update Add Shift Funds Example (PDF)
• J. Jump Update Shifting Funds Example Signature Pages (PDF)
• MSY Update and Application for Additional Shifting Funds 5.2 FORM (PDF)
• MSY Update Section Reference Slides (PDF)
• S. Shell MSY Update Additional Funds - Routine Example (PDF)
• S. Shell MSY Update.Additional Funds Example - Signature Pages (PDF)
• MSY Initial Application
• MSY Update and Additional/Shifting Funds Form
• MSY Funding Effective Dates (PDF)
• MSY Important Reminders (PDF) 
• MSY Signature Facts (PDF)
• MSY Things to Consider (PDF) 
• OHR MSY Flow Chart (PDF) 
• MSY Discharge-Transition Planning (PDF)

If an MSY provider needs an invoicing template, please contact OhioRISEMSYInvoices@aetna.com

If a MSY provider needs any documents in Microsoft Word format, please contact SmithS50@aetna.com.

• General Release of Information (PDF)
• Non Par Authorization Request Form (PDF)
• Partial Hospital Program (PHP) Authorization Form (PDF)

• Provider network management module (ODM)
• Ohio Medicaid Managed Care: OhioRISE
• Ohio Department of Medicaid: Resources for providers
• OhioRISE Care Management Entity (CME) Regions Map (PDF)
• Portland State University: National Wraparound Initiative (NWI)
• Ohio Administrative Code: Chapters 5160-26 and 5160-59

• Attention Deficit Hyperactivity Disorder Medication (PDF)
• Antidepressant Medication Management (PDF)
• Metabolic Monitoring for Children and Adolescents on Antipsychotics (PDF)
• Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics (PDF)
• Follow Up After Emergency Department Visit for Alcohol and Other Drug Dependence (PDF)
• Follow Up After Hospitalization for Mental Illness (PDF)
• Follow Up After Emergency Department Visit for Mental Illness (PDF)
• Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment (PDF)
• Oral Evaluation, Dental Services (PDF)
• Children and Adolescent Well-Care Visits (PDF)
• Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents: BMI Percentile Documentation (PDF)