Opioid Health Home Enrollment Documents
To be enrolled and participate in the Opioid Health Home (OHH) program beneficiaries must meet eligibility requirements, including being enrolled in Medicaid or Healthy Michigan Plan, have a diagnosis of an opioid use disorder and have or are at risk of another chronic condition. To enroll an individual in OHH services through the NMRE, an OHH provider is required to submit the following information.
1) MDHHS 5515 - Consent to Share Behavioral Health Information for Care Coordination Purposes
2) NMRE Opiod Health Home Program Enrollment Consent
3) Individualized Care Plan derived from an evidence-based assessment of need
|NMRE Opioid Health Home Enrollment Consent.pdf|
|OHH Client Care Plan Template.docx|