Opioid Health Home Application

The objective of this application is to identify qualified and interested providers to deliver Opioid Health Home (OHH) services. This application is for MaineCare providers who plan to serve MaineCare members and/or uninsured individuals. The OHH program requires providers to deliver services through a team-based model of care, as stated in MaineCare Benefits Manual, Chapter II, Section 93, Opioid Health Home Services or in a MaineCare issued OHH contract.

OHH Application Process:
In addition to this Survey Monkey application, the following documents must be submitted to OHH-Reporting.DHHS@maine.gov for the application to be considered complete.

1) Organization’s most recent Form 990, also known as the Return of Organization Exempt from Income Tax Form, or Form 1120, also known as the U.S. Corporation Income Tax Return Form, dependent on organization type.

Once the final application and additional required documents have been received, MaineCare will review and deliver a decision within 30 business days by email.

 Within 30 business days of approval, MaineCare will schedule an onsite training to provide an overview of the billing process and the Maine DHHS Value-Based Purchasing Management System (VMS) portal.
For questions about this online application or other steps in the application process, please contact the MaineCare Value-Based Purchasing (VBP) Unit at OHH-Reporting.DHHS@maine.gov.