Youth &
Family Services
Connect Your Child to Community Resources
and Care
Cincinnati Children’s HealthVine, in partnership with your insurance plan, is here to support your child and your family.
We are here to help your family:
- Find the right care
- Schedule and attend appointments
- Fill prescriptions
- Remove barriers to care
- Connect to community resources
We also provide care managers for children with significant physical and mental health needs and conditions.
Who Does HealthVine Serve?
We currently support more than 117,000 members in the Southwest Ohio region through our Care Management and OhioRISE programs.
Youth are eligible for HealthVine Care Management if they:
- Are covered by AmeriHealth, Anthem, CareSource or Humana Medicaid
- Live in Adams, Brown, Butler, Clermont, Clinton, Hamilton, Highland, or Warren county.
- Are in one of the following age groups:
- Newborn until their 19th birthday, or
- Newborn until their 21st birthday and is in either the Aged, Blind, or Disabled; Waiver; or the Adopted and Foster Care program.
HealthVine also provides care coordination services for members with complex behavioral health needs through the OhioRISE program.
Youth are eligible for HealthVine OhioRISE if they:
- Are eligible for Ohio Medicaid
- Live in Eastern Hamilton, Clermont, Brown, Adams, Scioto or Lawrence county
- Have significant behavioral health needs, as defined by:
- An assessment with Ohio Child and Adolescent Needs and Strengths (CANS) or
- A recent history of requiring inpatient mental health or substance abuse treatment
- Are in the following age group:
- Newborn until their 21st birthday*
*For youth enrolled in the OhioRISE 1915 (c) Waiver, services will continue until their 22nd birthday.
HealthVine Is Helping More Kids Get Care
The HealthVine Care Management team consists of registered nurses, social workers, community health workers and other outreach staff. They work with you one-on-one to help coordinate you or your child’s healthcare needs. Our Care Management team is trained to help you and your family with any special medical problems like asthma or diabetes, as well as other medical conditions.
We can also work with you if you need help figuring our whether you or your child needs medical care from a provider, an urgent care center or the emergency room.
You may hear from our team if:
- Your primary care or healthcare provider contacts us.
- You or your guardian or caregiver asks us to contact you.
- We think we can help based on your medical condition.
Success Story: Empowering a Young Patient
A HealthVine member struggled to manage their new medication due to a medical condition –poor medication management put them at higher risk for having an emergency room visit.
A HealthVine Community Health Worker (CHW) connected with the child and their family and began making weekly home visits. During these visits, the CHW worked with the child to develop a system to take their medication more reliably. After two months, the member takes their medication without assistance and feels more empowered by their care team to be more independent.
Learn More About HealthVine Care Management
Email Us at HealthVine@cchmc.org
Or call 855-422-8894
You can also find more resources on our Youth and Family Resources page.
Interpretation services are available. Please contact the number above for more information
HealthVine promotes the whole health of children by improving access to behavioral health care and supporting and training providers in the community. The HealthVine Behavioral Health team works to create a system where every child has access to quality, evidence-based behavioral health care at the right level, the right time and the right place – their community.
Help Finding Behavioral Health Resources
It can be difficult to know where to start when there is a behavioral or mental health concern for your child. Our HealthVine Care Management team is here to help. To learn more about care management and for help with behavioral health needs and services, visit the HealthVine Care Management page.
If your child has complex behavioral health concerns, they may be eligible for resources through OhioRISE, a new, managed care program for intensive behavioral health care needs. Learn more about HealthVine OhioRISE here.
Levels of Behavioral Health Care: A Primer for Members and Families
There are different levels of care available for a child with mental or behavioral health concerns depending on the child’s needs. Your pediatrician or care manager might connect you with different programs or providers (listed under Service Types in the table below) depending on the level of support needed and your preference as a caregiver.
| If your child is experiencing: | Service Types |
|---|---|
| Mild to moderate distress and symptoms are sometimes impacting daily functioningSymptoms are first identified in the pediatrician’s office |
|
| Mild to moderate distress and symptoms are often impacting daily functioning at home and/or school |
|
| Moderate to severe symptoms and symptoms are impacting daily functioning at home and/or school most days
Able to maintain safety of self and others at home |
|
| Moderate to severe symptoms and symptoms are impacting daily functioning at home and/or school most days
Urgent need for care, but |
|
| Moderate to severe symptoms and symptoms are impacting daily functioning at home and/or school most days; active threat to safety |
|
| Severe symptoms and symptoms are impacting daily functioning at home and school (or unable to attend school) |
|
| Severe symptoms leading to acute crisis
Need 24-hour management for safety until symptoms can be returned to baseline |
|
For more information on connecting with any of the above services, please visit our Youth and Family Resources page, contact HealthVine Care Management at HealthVine@cchmc.org or call: 855-422-8894 and select option 1.
OhioRISE is a specialized Medicaid managed care plan for youth with complex behavioral and multisystem needs that launched July 1, 2022. HealthVine’s OhioRISE team supports eligible youth and children located in Eastern Hamilton, Clermont, Brown, Adams, Scioto and Lawrence counties.
Your child may be eligible for OhioRISE (Resilience through Integrated Systems Excellence) if they:
- Are eligible for Ohio Medicaid
- Are NOT enrolled in MyCare Ohio
- Have significant behavioral health needs, as defined by:
- An assessment with Ohio Child and Adolescent Needs and Strengths (CANS) or
- A recent history of requiring inpatient mental health or substance abuse treatment
- Are in the following age group:
- Newborn until their 21st birthday*
*For youth enrolled in the OhioRISE 1915(c) Waiver, services will continue until their 22nd birthday.
To Learn More About HealthVine OhioRISE or Schedule a CANS Assessment
Visit our Online Referral Form
Email us at OhioRISE@cchmc.org
Or call 866-996-7227
You can also find more resources on our Youth and Family Resources page.
Interpretation services are available. Please contact the number above for more information
The HealthVine Utilization Management team works behind the scenes to review prior authorization requests for medical, surgical and behavioral health inpatient and outpatient services, as well as durable medical equipment and supplies.
CareSource Members: If you have questions regarding enrollment, coverage for a service, or a claims denial, please contact CareSource Member Services at 1-800-488-0134.
Interpretation services are available. Please contact the number above for more information.
How to Get Connected to CincyKids Connect Services
When your child needs to see a pediatric expert right away, CincyKids Health Connect is here for you with video visits from your smartphone or computer. It’s a great option for those times when your primary care provider isn’t available, and you need a quick answer.
You don’t need an appointment. You don’t even need to leave your house. Video visits have a short wait time, are FREE for HealthVine members, and you’ll get the great care you know and expect from Cincinnati Children’s.
Not sure if you are a HealthVine member?
Your first stop should always be your primary care physician as your place for regular care and they may also have video visits available. In some cases, your primary care provider may not be available, and when that happens, we’re here for you.
Video visits address minor injuries and illnesses like coughs, colds, rashes, and cuts/skin injuries. If medically appropriate, we can send a prescription to your pharmacy. A consultation is not a guarantee of a prescription. CincyKids Health Connect can see HealthVine patients under the age of 18.
Video visits are available from 6 am to 10 pm. They are not the same as in-person evaluations and are not meant for life-threatening situations. For these types of conditions, you need an in-person evaluation at Cincinnati Children’s emergency room locations.
CincyKids Connect: FREE Care When and Where You Need It
With just a few clicks, you and your child can meet with one of our pediatric experts for a video visit. They can review your child’s condition, provide guidance to help you move forward, or if needed, send a prescription to your pharmacy.
Here’s how to get started:
- Download the CincyKids Health Connect app on the App Store or Google Play.OR visit us the CincyKids Health Connect website.
- Set up your account — it takes just a few minutes.
- Fill out a brief medical history, just like you would at your healthcare provider’s office.
- Connect with a pediatric expert.
Remote Exam Device for CincyKids Virtual Urgent Care
As a HealthVine member you may be eligible to receive a remote exam device to use with your CincyKids Health Connect account. This device will help the provider have a better exam on your child from the comfort of your home. The device includes an ear scope, thermometer, a stethoscope for heart and lung sounds, tongue depressor to see your child’s throat and a camera for skin.
This device can ONLY be used with CincyKids Health Connect Virtual Urgent Care.
To find out more information, please email CincyKidshealthconnect@cchmc.org.
