Since 2019, TAC has supported the State of Ohio in its strategic planning efforts across the Medicaid behavioral health service delivery system. In partnership with asset management firm Mercer, TAC facilitated the procurement process for Ohio RISE (Resilience through Integrated Systems and Excellence), a specialized Medicaid managed care program for youth with complex behavioral health and multi-system needs. In addition, TAC provides ongoing support to Ohio with its section 1115 substance use disorder (SUD) demonstration implementation efforts, offering data-informed technical assistance on a wide array of policy and programmatic issues including cross-system care coordination, expanding access to medication-assisted treatment within residential treatment settings, implementing provider qualifications consistent with ASAM Criteria program standards, and utilization management approaches within a managed care environment.