Substance Use Disorder Health Home

Background

Under Section 2703 of the Patient Protection and Affordable Care Act of 2010 (ACA), the Health Home service model is meant to help chronically ill Medicaid and Healthy Michigan Plan beneficiaries manage their conditions through an intensive level of care management and coordination. The Substance Use Disorder Health Home is centered on whole-person, team-based care, with peer recovery coaches at the center of care.

Program Overview

The SUDHH will provide comprehensive care management and coordination services to Medicaid beneficiaries with opioid use disorder. For enrolled beneficiaries, the SUDHH will function as the central point of contact for directing patient-centered care across the broader health care system. Beneficiaries will work with an interdisciplinary team of providers to develop an individualized recovery care plan to best manage their care. The model will also elevate the role and importance of peer recovery coaches and community health workers to foster direct empathy and connection to improve overall health and wellness. In doing so, this will attend to a beneficiary's complete health and social needs. Participation is voluntary, and enrolled beneficiaries may opt out at any time.

Substance Use Disorder Health Home receives reimbursement for providing the following federally mandated core services:

• Comprehensive care management
• Care coordination
• Health promotion
• Comprehensive transitional care
• Individual and family support
• Referral to community and social support services

Program Objectives

Substance Use Disorder Health Home providers are also required to utilize health information technology to coordinate the care of Substance Use Disorder Health Home patients. Through the delivery of the core health homes services, Substance Use Disorder Health Home has the following objectives:

• Improve patient outcomes and long-term recovery
• Provide efficient, coordinated, and integrated behavioral and physical healthcare
• Increase access to healthcare
• Increase hospital post-discharge follow up
• Create a continuum of care
• Reduce healthcare costs
• Reduce unnecessary hospital admissions and readmissions
• Reduce unnecessary emergency room visits
• Increase the use of health information technology

Qualifying Health Conditions

You must be diagnosed with:

• Opioid Use Disorder
• Alcohol Use Disorder
• Stimulant Use Disorder

You must be at risk of: developing mental health conditions, asthma, diabetes, heart disease, BMI over 25 or COPD

Comments or questions about the Substance Use Disorder Health Home can be sent to: MDHHS-BHDDAHealthHomes@michigan.gov.