MaineCare Health Homes Initiative: Re-Opening of Practice Application for Participation is Extended to January 24th

January 9, 2014

The re-opening of MaineCare’s Health Home Practice Application has been extended to January 24, 2014. This is an update from the original listserv message from December 6, 2013:

MaineCare Health Homes Initiative: Re-Opening of Practice Application for Participation

In order to support partnerships between primary care practices and community mental health agencies interested in participating in the Behavioral Health Homes initiative, MaineCare is re-opening its application for primary care practices that are not currently participating in Stage A Health Homes for MaineCare members with chronic conditions.

Practices interested in participating in Stage B Behavioral Health Homes (for individuals with serious mental illness or serious emotional disturbance) are encouraged to apply. Practices that apply and qualify will be eligible to participate in both Stage A and Stage B Health Homes initiatives as of April 1, 2014. Practices that are already participating in Stage A Health Homes do no need to apply to participate in Stage B Behavioral Health Homes. MaineCare will be following up separately with the existing Stage A practices to confirm participation in Stage B Behavioral Health Homes.

MaineCare currently has 159 Health Home practice sites across the state that, in partnership with Community Care Teams, delivers Health Home services to MaineCare members with chronic conditions through Stage A. Stage B of MaineCare's Health Home initiative, being implemented in April 2014, requires partnerships between a primary care Health Home practice and one or more licensed community mental health providers (the Behavioral Health Home Organization or BHHO) to manage the physical and behavioral health needs of individuals with significant mental health needs. Through this application, practices may participate in both Stage A and Stage B of the Health Home initiative beginning in April 2014.

In order to participate, practices must:

  • Be participating MaineCare Providers;

  • Have received National Committee for Quality Assurance (NCQA) Patient-Centered Medical Home (PPC-PCMH) Recognition within one (1) year from the date of enrollment;

  • Be located in the state of Maine;

  • Have a fully implemented Electronic Health Record (EHR);

  • Have or anticipate having an Memorandum Of Understanding/Memorandum Of Agreement (MOU/MOA) with at least one BHHO in its area;

  • Comply with MaineCare Benefits Manual, Ch. VI, Section 1-Primary Care Case Management, Section 1.08-5-Twenty-Four Hour Coverage;

  • Participate in Maine's multi-payer Patient Centered Medical Home (PCMH) Health Homes Learning Collaborative;

  • Within one year of the BHHO's participation, must fully implement Maine's multi-payer Patient Centered Medical Home/ Health Homes Core Expectations.

Completed applications are due by Friday, January 10, 2014. For practices with more than one location, a separate application must be completed for each location.

To access the online application, please click here or go to: https://www.surveymonkey.com/s/BehavioralHealthHomesPracticeApp

Maine Quality Counts will be hosting a webinar for practices interested in becoming a MaineCare Health Home Practice and seeking additional information. This webinar will be held on Thursday, December 17, from 12:00 -1:00. You can register for this webinar online.

Additional information about the Health Home and Behavioral Health Home initiatives can be found at MaineCare's Value-Based Purchasing Website: http://www.maine.gov/dhhs/oms/vbp/index.html

To review the current MaineCare regulation on Health Homes, please go to: http://www.maine.gov/sos/cec/rules/10/144/ch101/c2s091.doc

Questions about the MaineCare Health Homes initiative should be referred via email to Kitty Purington at OMS or to Lisa Letourneau, at Maine Quality Counts. Website: http://www.maine.gov/dhhs/oms/vbp/index.html

To review the current MaineCare regulation on Health Homes, please go to: http://www.maine.gov/sos/cec/rules/10/144/ch101/c2s091.doc

Questions about the MaineCare Health Homes initiative should be referred via email to Kitty Purington at OMS or to Lisa Letourneau, at Maine Quality Counts