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; firstname.lastname@example.org
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; email@example.com
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; firstname.lastname@example.org
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; email@example.com.
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; firstname.lastname@example.org.
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).