Opioid Health Home Update Olivia Alford October 10, 2018
Opioid Health Home Basics Opioid Health Homes began in 2017 and are comprised of a group of providers who furnish services to individuals diagnosed with an opioid dependency. Value-Based Purchasing manages OHH services for MaineCare members and uninsured individuals. MaineCare Benefits, Manual Chapter II, Section 93, Opioid Health Home Services Maine Department of Health and Human Services
Opioid Health Home Basics OHH services include: Staff requirements: Office visit(s) with Medication-Assisted Treatment (MAT) prescriber Clinical team lead Medication-Assisted Treatment (MAT) prescriber Counseling to address opioid dependency Nurse care manager Medication Opioid dependency clinical counselor Comprehensive care management Peer recovery coach Care coordination Health promotion Comprehensive transitional care Individual and family support service Referral to community and social support services MaineCare Benefits, Manual Chapter II, Section 93, Opioid Health Home Services Maine Department of Health and Human Services
Opioid Health Home Locations Maine Department of Health and Human Services
Potential Opioid Health Home Changes The Department is working towards improving the OHH model by: Creating a tiered rate structure to reflect varying levels of need/services by clinical phase and individual need. Increasing staffing flexibilities, including allowing ramp-up time for training nurse care managers and clinical counselors. Including urine drug screening in the OHH bundle of services. Billing medication costs separately for MaineCare members. Amending requirement for an OHH to have an Electronic Health Record (EHR) for each member to allow provider flexibility in meeting OHH requirements. The upcoming rulemaking will have a full explanation of all changes. Maine Department of Health and Human Services
Next Steps for Organizations To become an OHH service provider: Complete an OHH application. Once approved, MaineCare staff will do a site visit and provide training on the Value-Based Purchasing Management System. If providing OHH services to uninsured individuals, MaineCare/DHHS will send you a contract for review/signature. Please contact us with any questions about or assistance with this process: OHH-Reporting.DHHS@maine.gov. Maine Department of Health and Human Services
Maine Department of Health and Human Services Questions? Olivia Alford Acting Director Value-Based Purchasing, MaineCare Services Olivia.Alford@maine.gov 207-624-4059 Maine Department of Health and Human Services