SRS is for individuals diagnosed with severe and persistent mental illness (SPMI) and/or certain diagnosed chronic conditions (DCC), or who are active on the solid organ or soft tissue transplant waiting list. To be eligible for SRS, the following criteria must also be met:
- You have income below $2,349 per month ($28,188 per year)
- You are 21 years of age or older
- You are actively on the solid or soft transplant waiting list or have a diagnosed chronic condition, which includes certain malignancies, HIV/AIDS or immune deficiencies, end stage renal disease (ESRD), sickle cell anemia, cystic fibrosis, hemophilia or if you have had a previous organ transplant
- You need help with medical appointments and/or activities of daily living
- You have been determined to meet the definition of disability used by the Social Security Administration. The following exceptions apply:
- Over 65 with certain DCC or active on the solid organ or soft tissue waiting list – No SSA disability required
- End Stage Renal Disease (ESRD) – No SSA disability required, regardless of age
- You do not live in a nursing facility, hospital or similar setting.
Specialized Recovery Services (SRS) is a Medicaid program that offers three services that are not available under a traditional Medicaid benefit plan. These services are:
- Recovery Management - assistance developing a plan of care specific to an individual’s needs
- Individualized Placement and Support - Supported Employment – helping individuals find and keep a job
- Peer Recovery Support - support from others with similar life experiences
Form more information about SRS, click here.
No, an individual cannot be enrolled on a home and community-based services waiver (HCBS) and enrolled in SRS at the same time.
There are several eligibility factors that an individual must meet in order to qualify for SRS, including having a qualifying severe and persistent mental illness (SPMI) or a qualifying diagnosed chronic condition (DCC). The individual must also meet the definition of disability as used by the Social Security Administration, with certain exceptions.
You may ask your health care provider or local county department of job and family services office about SRS and how to apply. Also, if you have been identified as being potentially eligible for SRS, a recovery manager may contact you. The recovery manager may ask you about your past and current health care treatment and help you complete an assessment to determine your need for SRS services. The assessment is part of the eligibility determination process.
Yes. If you are eligible for SRS, then you will continue to receive your other Medicaid benefits.
Yes. Because you will keep your Medicaid coverage, you may continue seeing any of your current Medicaid provider(s). Under SRS you will also meet with a recovery manager to develop a personalized plan of care.
Yes. They include:
Recovery managers will work with individuals to develop a comprehensive plan of care. The recovery
managers will meet with individuals regularly to monitor their plan and the receipt of their services.
Individualized Placement and Support - Supported Employment (IPS-SE)
Supported employment services can help individuals find a job. A supported employment worker will
evaluate an individual’s interests, skills, experience, and goals as it relates to employment goals. IPS
programs also provide ongoing support to help individuals successfully maintain employment. A job can
serve as more than an income. It can also help individuals feel a sense of accomplishment and help them
manage their behavioral health issues.
Peer Recovery Support
Peer recovery supporters are people who use their own experiences with mental health and substance
use disorders to help individuals reach their recovery goals. Goals are included in a care plan designed
by the individual based on his or her preferences and availability of community and natural supports.
The peer relationship can help individuals focus on strategies and progress toward self-determination,
self-advocacy, well-being and independence.
*If you are eligible for SRS because of a diagnosed chronic condition or because you are on a transplant
list you can only receive recovery management services.
No. There is no cost to apply, and there are no co-payments or premiums for the SRS program. However, benefits under the SRS program may be subject to estate recovery. For more information on estate recovery, click here.
You can ask your health care provider or your local county department of job and family services or you can call the Medicaid Consumer Hotline at 1 (800) 324-8680 if you have questions about SRS.
Information may also be found on the Ohio Department of Medicaid website by following the Specialized Recovery Services page.