Measurement-Based Care for Ohio Mental Health Teams

CANS-Based Eligibility for OhioRISE

A certified assessor's result, entered in the state CANS IT system, sets and maintains a young person's eligibility

Repeated as Needs Change

At prescribed intervals or after a significant change, according to the Ohio Medicaid behavioural health manual

Score Histories to Export

Download a client's results, or your whole account, as CSV or PDF for a treatment plan review, a board contract report or your own quality improvement work.

Agencies With Many Sites

Team and Network plans give a multi-county agency one account for every clinician, with role-based access so each staff member sees only the clients their role allows.

Telehealth-Ready Check-Ins

Clients answer from an email link wherever they are, which suits an Appalachian caseload seen partly by video as much as an urban clinic.

23.9%

of Ohio adults had any mental illness in the past year (model-based annual average, 2023-2024)

17.5%

of Ohioans aged 12 to 17 had a major depressive episode in the past year (annual average, 2023-2024)

25.7%

of Ohio adults received mental health treatment in the past year (2024)

6.1%

of Ohio adults had serious thoughts of suicide in the past year (annual average, 2023-2024)

Routine outcome monitoring

In a randomized trial at 6 Cleveland community mental health clinics with 218 patients and 48 therapists, matching patients to therapists using routinely collected Treatment Outcome Package data reduced weekly general impairment compared with assignment as usual (d = 0.75).

Constantino et al., JAMA Psychiatry, 2021 PMID 34106240

PHQ-9 and GAD-7 in primary care

Across 20 Ohio primary care practices in the Focus on ME program for women aged 18 to 44, PHQ-9 screening rose 18.1% and GAD-7 screening 23.1% from baseline during implementation.

Bose-Brill et al., Journal of General Internal Medicine, 2026 PMID 42533266

CRAFFT screening for adolescents

In Akron Children's Hospital's 34-site primary care network, 35,750 of 38,427 eligible adolescents (93%) completed CRAFFT substance use screening during the network-wide phase.

Karas et al., Pediatric Quality and Safety, 2024 PMID 38993273

Depression screening in rural pediatrics

In 4 rural Ohio pediatric practices working with Nationwide Children's accountable care organization, adolescent depression screening rose from 0% to 81% within 6 months.

Baum et al., Pediatric Quality and Safety, 2020 PMID 32656464

OhioRISE

A Medicaid managed care plan for young people aged 0 to 20 with significant behavioural health needs, operated by Aetna Better Health of Ohio, with care management entities across the state. Eligibility and care planning rest on the Ohio CANS, which Medicaid pays for under code H2000 at rates that depend on the assessor's licence.

Medicaid Behavioural Health

Behavioural health services are covered both in fee-for-service and by Medicaid managed care entities, which include the managed care plans, MyCare Ohio plans and OhioRISE. To contract with them, a provider must be certified by the Ohio Department of Behavioral Health and enrolled in Ohio Medicaid.

County Behavioural Health Boards

Ohio's county and multi-county boards, known as ADAMH, ADAMHS or MHRS boards, plan, develop, fund, manage and evaluate local mental health and addiction services. The Ohio Department of Behavioral Health, which took over from the Department of Mental Health and Addiction Services, certifies the providers they contract with.

Practising Across State Lines

The Counseling Compact is live in three states, Ohio among them: an Ohio-licensed LPCC who lives in Ohio can apply for privileges to practise in Arizona and Minnesota. Ohio is also listed among the states that have passed the Social Work Licensure Compact.

Hosted in the United States

HiBoop runs on Google Cloud, and US customers' data is hosted in Google Cloud US regions. These are Google's regions in the United States. Google Cloud locations

Google Cloud regions

• Columbus, Ohio In this regionus-east5
• Council Bluffs, Iowa Low CO₂ · 88% carbon-freeus-central1
• Moncks Corner, South Carolina us-east1
• Ashburn, Virginia us-east4
• Dallas, Texas Low CO₂ · 83% carbon-freeus-south1
• The Dalles, Oregon Low CO₂ · 83% carbon-freeus-west1
• Los Angeles, California us-west2
• Salt Lake City, Utah us-west3
• Las Vegas, Nevada us-west4

Low CO₂ is Google's label for a region that ran on carbon-free energy at least 75% of the time in 2025. Google's figures

Why Ohio Programs Use HiBoop

• US customers' data kept in Google Cloud US regions, encrypted both in transit and at rest
• HIPAA compliant with a BAA, and SOC 2 Type II certified
• Access set by role, with every view and export of client data logged
• Care costs $25/month for one clinician, month to month, and starts without a credit card
• Clients respond on their own device from an email link or a waiting-room QR code

USD pricing & support

Transparent pricing in USD with flexible payment options for clinics of every size.

Youth and Family Services

• PHQ-A (Adolescent Depression)
• SCARED (Child Anxiety)
• CRAFFT-2.1 (Youth Substance Use)

Depression, Anxiety and Suicide Risk

• PHQ-9 (Depression)
• GAD-7 (Anxiety)
• C-SSRS Screener (Suicide Risk)

What Ohio asks of certified providers

• Keep written confidentiality policies that cover the federal and state laws that apply, including HIPAA and 42 CFR Part 2 for substance use records (Ohio Adm. Code 5122-26-08)
• Limit staff access to client information, and disclose it only as the law permits, storing records in line with legal requirements
• Hold Department of Behavioral Health certification and Ohio Medicaid enrollment before contracting with a Medicaid managed care entity
• Keep HIPAA's safeguards and breach notification duties, with a business associate agreement for every vendor handling protected health information

What HiBoop provides

• A business associate agreement for covered entities
• Google Cloud US hosting for US customers, with encryption in transit and at rest
• Role-based permissions and a log of each view and export of client data
• SOC 2 Type II certification, with our controls set out on the trust page

OhioMHAS administers one of the most active state behavioral health grant programs in the US, regularly issuing RFPs for technology adoption, quality improvement, and CCBHC transformation. Ohio is a CCBHC demonstration state with significant infrastructure funding - digital assessment and outcome measurement are explicitly required infrastructure for CCBHC certification.

SAMHSA’s CCBHC grants fund detailed behavioral health services including the infrastructure, staffing, and technology required to meet CCBHC standards. Outcome measurement and digital assessment platforms are explicitly eligible as required infrastructure for CCBHC certification.

States receive federal MHBG funds and redistribute them to community mental health organizations. Technology, quality improvement, and workforce development are eligible uses. Contact your state mental health authority to understand how MHBG flows in your state.

SAMHSA’s PIPBHC program funds integration of primary and behavioral health care, including the technology infrastructure needed to coordinate care across disciplines. Outcome measurement platforms and digital assessment tools are eligible as integration infrastructure.

HRSA funds rural health networks to develop shared infrastructure including technology platforms, telehealth systems, and outcome measurement tools. Mental health-focused networks in rural areas can use this to fund shared digital assessment and measurement platforms.

Supports expanding the behavioral health workforce through training, clinical placements, and technology-supported care delivery. Technology platforms that support supervision, measurement, and case management are eligible uses.

Emergency

For a life-threatening emergency, call emergency services first.

Suicide & Crisis Lifeline (988)

24/7/365

Crisis Text Line

24/7