1. Opioid Health Home Update
Olivia Alford
October 10, 2018

2. 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

3. 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

4. Opioid Health Home Locations
Maine Department of Health and Human Services

5. 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

6. 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:
Maine Department of Health and Human Services

7. Maine Department of Health and Human Services
Questions?
Olivia Alford Acting Director Value-Based Purchasing, MaineCare Services
Maine Department of Health and Human Services