Health Homes

Health Home services include care coordination, case management, individual and family support, and health promotion/education. Each organization that is partnering to provide health home services receive a per member, per month (PMPM) payment.

Participation in any of the four health home programs, Community Care Teams (CCT), Behavioral Health Homes (BHH), MaineMOM, and Opioid Health Homes (OHH), is voluntary, and members can opt out of the service at any time.

Community Care Teams (CCT)

CCTs are organizations who partner with primary care practices and community providers to support members with certain chronic conditions and who are at risk of poor health outcomes and/or high utilization of health care services.

HOME Provider is a specialized CCT that provides housing outreach and member engagement services for eligible members with Long-term Homelessness. CCT and HOME, including provider requirements, are further described in the MaineCare Benefits Manual Chapter II and Chapter III, Section 91.

The CCT Provider application is open. To apply, please use our online application.

The HOME Provider application is open. To apply, please use our online application.

Materials, Forms, and Other Resources

For questions about the CCT or HOME program, or information about upcoming events and meetings, please email the HH-BHH email box.

Behavioral Health Homes (BHH)

BHHs are health care teams within a licensed community mental health agency to manage the physical and behavioral health needs of eligible adults and children. 

BHHs, including provider requirements, are further described in the MaineCare Benefits Manual.

Accepting Applications

The BHH application is open. To apply, please use our online application

In order to provide BHH services, providers must first meet the guidelines established by MaineCare and Children’s Behavioral Health Services (CBHS) for provision of Targeted Case Management (TCM). Providers may choose to provide either TCM or BHH services or to provide both services. Please click on the link below to locate providers that have been approved to provide Section 13 TCM services for CBHS, these providers will be listed as providing services for children.

Materials, Forms, and Other Resources

Questions? 

Email the BHH email box for questions about the project, upcoming events, and meetings.

For more information regarding quality measurement in the Health Homes programs, please click here.

MaineMOM

MaineMOM Services provide comprehensive, coordinated care focused on serving pregnant and postpartum MaineCare members with Opioid Use Disorder (OUD) and their infants.

MaineMOM Core Services include:

Perinatal care up to twelve months postpartum with integrated OUD treatment; Care plan development to support individual needs of patients, and identify health-related social needs; Transition support between inpatient, outpatient, and other care settings; Referrals for community resources; Substance use and perinatal care education; and Access to recovery-focused services.

Accepting Applications

The MaineMOM provider application is now open! To apply, please use our online application here.

Questions

For questions about MaineMOM Services or the application process, please contact MaineMOM@maine.gov.

For more information regarding quality measurement in the MaineMOM programs, please click here.

MaineMOM Service requirements, including provider requirements, are further described in the MaineCare Benefits Manual, Chapter II, Section 89.

Opioid Health Homes (OHH)

OHHs deliver team-based treatment of opioid use disorder including medication, opioid dependency counseling, and comprehensive care management for eligible MaineCare members and uninsured individuals.

The OHH model utilizes team-based care to support both the individual in treatment as well as the providers delivering care.OHH, including provider requirements, are further described in the MaineCare Benefits Manual.

Accepting Applications

The OHH application is open. To apply, please use our online OHH application

Materials, Forms, and Other Resources

Questions? 

For questions pertaining to the OHH, please contact the Opioid Health Home email box.

For more information regarding quality measurement in the OHH programs, please click here.

Technical Assistance Resources

National Committee for Quality Assurance (NCQA)

Achievable Benchmarks of Care: The ABCs of Benchmarking 

Provider Playbook: Increasing Adolescent Well-Care Visits (PDF)

BHH Intake

OHH Intake

CCT Intake (Video 1 of 2)

CCT Intake (Video 2 of 2)