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    Maryland Department of Health
    Behavioral Health Administration

    Office of Treatment Services

    The Office of Treatment Services (OTS) is an integrated system of behavioral health treatment and services that are available and accessible to individuals experiencing substance-related disorders, and is responsible for the planning, design, development, implementation, and monitoring of effective community-based behavioral health treatment services statewide. This includes the design, development, and implementation of specialized, culturally sensitive, and responsive initiatives to address the needs of individuals with mental health, substance-related, or co-occurring mental health and substance-related disorders, and individuals who are deaf and hard of hearing or are at risk for chronic somatic health conditions. Individuals who are at risk for chronic somatic health conditions are enrolled in the Medicaid Behavioral Health Home Initiative. The OTS also administers and oversees the statewide continuum of outpatient (OP) behavioral health treatment services, including American Society of Addiction Medicine (ASAM) Levels 1, 2.1, 2.5, 3.1, 3.3, 3.5, and 3.7, the Outpatient Mental Health Center (OMHC), Mental Health Partial Hospitalization Programs (PHPs), group practice, and private independently licensed practitioners. The office aims to increase access to appropriate clinical services, monitor and improve outcome and performance measures, and provide education on, and increase the public’s awareness of the risks associated with behavioral health disorders. The unit also allocates and monitors the use of federal and state fiscal resources, and provides training and technical assistance (TA) to jurisdictions and service providers. The unit provides oversight for State Care Coordination (SCC) services, Targeted Case Management (TCM), the Medicaid Health Home Initiative, behavioral health services to individuals who are Deaf and Hard of Hearing, the State Opioid Response (SOR) federal grant, and the Medication Assisted Treatment-Prescription Drug Opioid Addiction (MAT-PDOA) federal grant.

    Clinical Services

    Clinical services are offered through a continuum of treatment modalities/levels of care that promote public health and safety of patients, families, and communities. The modalities are community based, and consist of Intensive Outpatient (IOP), Outpatient (OP), American Society of Addiction Medicine (ASAM) Substance Use Disorder (SUD) Residential Treatment (3.1, 3.3, 3.5, 3.7, 3.7WM), DWI/DUI education, detoxification services, Opioid Maintenance Therapy (OMT) which uses pharmacological (Medication-Assisted Treatment - MAT) interventions to provide treatment and recovery support to opioid-addicted patients, Outpatient Mental Health Clinic (OMHC), Mental Health Partial Hospitalization Program (PHP), Group Practice, and Private Independently Licensed Practitioners.​

    Outpatient Mental Health Centers (OMHC)

    OMHCs employ a medical director who is a psychiatrist or psychiatric nurse practitioner, and multidisciplinary clinical treatment staff representing at least three clinical disciplines, which may include psychologists, professional counselors, marriage and family therapists, art therapists, alcohol and drug counselors, and clinical social workers to deliver an array of outpatient and community-based mental health treatment services. The service array includes, at minimum, individual therapy, group therapy, family therapy, and medication management and may include family psychoeducation or other adjunctive treatment services.

    Individual practitioners

    Individual practitioners are independently licensed mental health professionals who are authorized by the Maryland Board of Examiners of Psychologists, Maryland Board of Professional Counselors and Therapists, Maryland Board of Social Work Examiners, or the Maryland Board of Nursing to independently provide mental health treatment services. This may include psychiatrists licensed by the Maryland Board of Physicians and either certified or eligible to be certified in psychiatry by the American Board of Psychiatry and Neurology.

    Group Practice

    A group practice is a group of two or more individual practitioners legally organized in a partnership, professional corporation, foundation, not-for-profit corporation or similar association and for which substantially all of the mental health treatment services are provided through the group and are billed in the name of the group.

    Partial Hospitalization Programs (PHP)

    Partial Hospitalization Programs, also known as psychiatric day treatment programs, provide short-term, intensive, day or evening individual and group mental health treatment and support services for individuals with acute psychiatric symptoms which require medical supervision and intervention.  PHP’s are an alternative to psychiatric inpatient care for individuals who do not require 24-hour care and can safely reside in the community. This level of service is a covered benefit for Medicaid-eligible service recipients only.​

    Statewide Care Coordination (State Care Coordination-SCC)​

    State Care Coordination: State Care Coordination is a recovery support service designed to improve recovery outcomes for individuals at risk of relapse, and high-cost individuals that utilize publically funded substance use treatment resources. State Care Coordination provides referrals and community linkages to resources that promote recovery and wellness. Individuals in the program are assisted with gaining access to community/faith-based, somatic, behavioral, social, and other recovery support services that are appropriate to their needs. Services may include recovery assessment, care planning, on-going monitoring, and follow-up. For additional information, contact Risa Davis, Regional Services Manager @ 410.402.8578; risa.davis@maryland.gov
    State Care Coordination Manual​

    Medicaid Health Home

    Maryland's Medicaid Health Home services are for individuals who are at risk of having chronic somatic conditions. The Health Home Initiative augments the State's broader efforts to integrate somatic and behavioral health services. The Health Home Initiative administers and oversees the statewide continuum of outpatient behavioral health treatment services, including ASAM Levels 1., 2.1, 2.5, 3.1, 3.3, 3.5, 3.7, and 3.7WM levels of care, Outpatient Mental Health Center (OMHC), Mental Health Partial Hospitalization Programs (PHP), group practice, and private independently licensed practitioners.  The program targets populations with behavioral health needs who are at high risk for additional chronic conditions, including those with serious persistent mental illness (SPMI), serious emotional disturbance, and substance use disorders (SUD). Health Homes offer participants enhanced care coordination services from providers with whom they regularly receive care, including psychiatric rehabilitation programs (PRPs), mobile treatment service providers, and opioid maintenance therapy (OMT) treatment programs. This is a community-based approach, not a residential program. Health Homes are designed to enhance person-centered care, empowering participants to manage and prevent chronic conditions in order to improve health outcomes while reducing avoidable hospital encounters. The Office of Treatment Services works collaboratively with the Department's Medicaid Behavioral Health Division to review provider Health Home applications for continued compliance with Health Home Standards and their delivery of services. For additional information, contact Risa Davis, Regional Services Manager @ 410.402.8578; risa.davis@maryland.gov​

    Deaf and Hard of Hearing

    The Office of Treatment Services provides oversight of state funding for behavioral health treatment services for Maryland's Deaf and Hard of Hearing constituents. This includes funding for Visual Sign Language interpretation, i.e., American Sign Language (ASL) in order for consumers to access public behavioral health services. Such services include outpatient SUD and mental health treatment, psychiatric rehabilitation programs (PRPs), residential rehabilitation programs (RRPs), and supported employment programs (SEPs). The unit works collaboratively with the Core Service Agencies (CSAs) or Local Behavioral Health Authorities (LBHAs). For additional information, contact Brittnii Howell, Regional Clinical Services Manager @ 410.402.8687; brittnii.howell2@maryland.gov

    Targeted Case Management – Adults and Older Adults

    The Coordination of Care Program Manager within the Office of Treatment Services (OTS) is responsible for monitoring the competitive solicitation and procurement of Targeted Case Management (TCM) vendors by the local Core Service Agency (CSA) or Local Behavioral Health Authority (LBHA) to ensure adherence to COMAR 10.09.45 and the TCM Medicaid State Plan Amendment (SPA). The OTS liaises with the Medicaid Behavioral Health Unit and the Department's Administrative Service Organization (ASO) to facilitate provider enrollment as a Medicaid TCM provider and registration with the ASO. The Adult TCM program serves those 18 years and older with a SPMI diagnosis and meets medical necessity criteria for the program. Under the 1915(b)(4) authority, the State waived the freedom of choice for providers of case management services. The TCM program must serve all individuals who meet the functional and financial eligibility requirements. For additional information, contact Risa Davis, Regional Services Manager, 410.402.8578; risa.davis@maryland.gov

    Constituent Services and Community Relations

    Constituent Services and Community Relations provides direction to consumers who experience obstacles that prevent them from accessing treatment for substance use disorders (SUDs) and/or co-occurring SUD and mental health disorders, facilitates coordination and collaboration across programmatic divisions and stakeholders to help reduce administrative barriers to accessing behavioral health treatment services. The integration of SUD and MH services at the system and service levels is designed to help foster a culture of exemplary customer service and accountability. These services provide an internal liaison to the Maryland Department of Health, Behavioral Health Administration to ensure that treatment and recovery support services are effective, efficient, and responsive to the needs of some of Maryland’s most vulnerable citizens. Constituents and/or family members seeking treatment are referred to the Office of Treatment Services (OTS) Community Liaison by the general public, other state and federal agencies, the Governor’s Office, the Secretary’s Office, and state and federal elected officials. For additional information, contact Leslie Woolford, 410-402-8673/443-863-0938; leslie.woolford@maryland.gov.

    State Opioid Response (SOR) Initiative

    The State Opioid Response (SOR) grant funded by the Substance Abuse and Mental Health Administration (SAMHSA) supports evidence-based prevention, treatment, and recovery support activities. The program aims to address the opioid crisis by increasing access to medication-assisted treatment (MAT) using the three FDA-approved medications (buprenorphine, methadone, vivitrol) for the treatment of opioid use disorders (OUDs), reducing unmet treatment need, and reducing opioid overdose related deaths through the provision of prevention, treatment, and recovery activities for opioid use disorder (OUD) (including illicit use of prescription opioids, heroin, fentanyl, and fentanyl analogs). The OTS oversees all SOR grant activities and funds managed by BHA Program Managers, and SOR grant activities and funds that have been awarded to Maryland's jurisdictions. SAMHSA recently included SOR grant activities to include evidence-based prevention, treatment, and recovery support services to address stimulant misuse and use disorders, including for cocaine and methamphetamines. For additional information contact: Seante' Hunt, SOR Project Director, 410.402.8491; seante.hunt@maryland.gov.

    Local Designated Authority (LBHA/LAA/CSA) Monitoring

    The Regional Clinical Services Managers (RCSMs) within the Office of Treatment Services (OTS) are responsible for the monitoring and oversight of the implementation and delivery of substance use disorder intervention, treatment, and recovery support services in Maryland's 23 counties and Baltimore City. This includes services to the criminal justice population, adults and older adults, and individuals with co-occurring SUD and mental health disorders. The RCSMs develop policies and procedures regarding effective programmatic and fiscal practices, provide recommendations on new or revised legislation, and monitor state general and federal funding awarded to the jurisdictions for behavioral health services. The OTS and RCSMs provide technical assistance, education, training, and guidance to the local jurisdictions to ensure behavioral health services are provided per the conditions of awards (COAs).
    contact: Risa Davis, 410.402.8578; risa.davis@maryland.gov​.
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