To be eligible, individuals must reside in a home and community-based setting and agree to participate in the development of a person-centered care plan. Program services help participants maintain stability in the community, improve functioning, and prevent relapse.
The Specialized Recovery Services (SRS) program was created in August of 2016, and initially served individuals with a severe and persistent mental illness (SPMI) who have income up to 300% of Federal Benefit Rate (FBR).
The program expanded in July 2017 to also include individuals with a diagnosed chronic condition (DCC), e.g., HIV/AIDS, end stage renal disease (ESRD), sickle cell anemia, cystic fibrosis, and hemophilia, or who are active on the solid organ or soft tissue transplant waiting list.
Beginning on July 1, 2018, the program made key eligibility changes, including removing the requirement for receipt of SSI/SSDI benefits as a condition of eligibility, and removing disability determinations for DCC individuals over-65 and for ESRD individuals regardless of age (SSA disability is still required for the SPMI and DCC under-65 populations).
How Providers can assist with the enrollment process
Providers should be prepared to assist with this enrollment process by identifying individuals likely to be eligible for SRS and ensuring that they are connected to a recovery manager.
If a provider believes an individual may be eligible for the SRS program, but that person has not received a letter from Medicaid, the provider should contact ODM via secure email at BHCP@medicaid.ohio.gov, with the subject line: SRS Program Referrals.
Please use the provider toolkit as a guide for providers to better understand the SRS program, services available, and how to support individuals to enroll. Additionally, instructions to send a secure email referral as well as an editable referral template to track referrals can be found below.
Please note that there has been a change to the SRS referral template to include additional space to add a second form of contact for individuals. To reduce denials due to unable to contact, ODM strongly encourages providers to collect a second form of contact and/or email address from individuals, when possible. ODM also asks that providers complete every section of the template and place “N/A” where a response is not applicable. Please click here for the updated SRS referral template.