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It outlines exclusion conditions, dual-eligibility rules, and the customer benefits delivered by an integrated care team. The FAQ also details required enrollment and care-planning documents, consent usage, care plan update intervals, submission routes, notification processes, and how OHH encounters are defined and coded.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/opioid-health-home-frequently-asked-questions-program-eligibility-benefits-and-document-requirements-june-2021/353740/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/opioid-health-home-frequently-asked-questions-program-eligibility-benefits-and-document-requirements-june-2021/353740.png","ImageObject",442,249,{"name":88,"@type":89},"Nguyễn Văn Học","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-09","2026-09-22",true,{"@type":98,"interactionType":99,"userInteractionCount":73},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"How can Home Home Partners identify individuals to participate in OHH?","Question",{"text":108,"@type":109},"Home Home Partners can identify eligible customers from their current customer roster, and SWMBH’s Access Department screens new customers for eligibility when they request treatment options information.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"What eligibility requirements must customers meet for OHH?",{"text":113,"@type":109},"Customers must live in Kalamazoo or Calhoun counties, have an opioid use disorder diagnosis, and have active Medicaid or HMP in those counties without being enrolled in another waiver program.",{"name":115,"@type":106,"acceptedAnswer":116},"What documents are required for individuals enrolled in OHH?",{"text":117,"@type":109},"Partners must submit MDHHS 5515 consent to share behavioral health information, the Opioid Health Home program enrollment consent to treatment form, the Treatment Needs Questionnaire, the biopsychosocial assessment, and the OHH care plan within 30 days of enrollment.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},353740,1791558746,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":73,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":76,"language":135,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":61,"update_tm":139,"read_time":9},1374402739827,"https://ap-avatar.wpscdn.com/avatar/14000c97e7351f1a627?x-image-process=image/resize,m_fixed,w_180,h_180&k=1787885694763230660","Opioid Health Home Frequently Asked Questions  \nHow are individuals identified to participate in OHH?  \nHome Home Partners (HHPs) can identify eligible customers from their current customer roster and as new customers enter their program. SWMBH’s Access Department will screen new customers for eligibility when they are requesting information about treatment options.  \nWhat are the eligibility requirements to participate in OHH?  \nCustomers must:  \n• Live in Kalamazoo or Calhoun counties  \n• Have an opioid use disorder diagnosis  \n• Have active Medicaid or HMP in Kalamazoo or Calhoun counties and not be enrolled in another waiver program.  \nWhat benefit plans exclude an individual from being eligible for OHH?  \nA customer cannot be enrolled in HHBH (Behavioral Health Home), HHMICare (Health Home MI Care Team), ICO-MC (Integrated Care MI Health Link), NH (Nursing Home), or Hospice during the same month. A customer cannot be in spend down.  \nCan dual eligible individuals (Medicaid/Medicare) participate in OHH?  \nDual customers are eligible for Opioid Health Home, but those participating in MI Health Link are not eligible. Customers cannot be enrolled in two separate waiver programs.  \nWhat are the benefits for customers participating in OHH?  \nCustomers will receive support from an integrated team of providers who can:  \n• Coordinate care with other doctors/specialists/providers.  \n• Help customers understand and manage other conditions they may have.  \n• Refer customers to resources focusing on overall health.  \n• Assist customers with housing, legal issues, transportation, employment, educational goals, etc.  \n• Connect customers to community resources.  \nWhat documents are required for individuals enrolled in OHH?  \nHealth Home Partners are required to submit the following:  \n• MDHHS 5515 Consent to Share Behavioral Health Information for Care Coordination Purposes*  \n• Opioid Health Home Program Enrollment Consent to Treatment form  \n• Treatment Needs Questionnaire**  \n• Biopsychosocial Assessment*  \n• Opioid Health Home Care Plan (within 30 days of enrollment)**  \n*These documents will be updated at least yearly  \n**These documents will be updated at least every six months  \n***Valid SUD BH TEDS must be in SWMBH system.  \nWhat is the MDHHS 5515 form and how is it used?  \nThe MDHHS 5515 form is used by the customer to give and take away consent to share health care information between providers, SWMBH, and MDHHS. The date on this form is the date the customer had their initial OHH meeting and will be used as their enrollment date. This form needs to be completed yearly and updated with new providers.  \nWhat is the Opioid Health Home Program Enrollment Consent form?  \nThe consent form provides a brief overview of Opioid Health Home and grants permission to enroll the customer into OHH. The date on this form should be the same date as on the MDHHS 5515 Consent form (enrollment date) .  \nWhat information needs to be included on the OHH Care Plan?  \nThe OHH Care Plan must include:  \n• Opioid diagnosis goals/objectives  \n• Other SUD diagnosis goals/objectives (if applicable)  \n• Mental Health diagnosis goals/objectives (if applicable)  \n• Medical health risk goals/objectives (if applicable)  \n• Behavioral health risk goals/objectives (if applicable)  \n• General goals/objectives (if applicable)  \nThe Care Plan will be reviewed by the OHH team as needed but at least every six months. The Treatment Needs Questionnaire must be used to develop goals for the customer’s needs and updated in conjunction with the care plan. HHP’s can utilize “Opioid Health Home Care Plan Template” when creating care plans.  \nHow do HHP’s submit documents to SWMBH?  \nHHP’s who have access to the WSA will submit paperwork through the WSA. HHP’s who do not have access to the WSA must submit all paperwork through SWMBH’s SmartCare system. SUD BH TEDS must be submitted through SWMBH’s SmartCare system for all OHH customers.  \nHow is a provider notified when an ","cbCaicjwskdvKvSi","https://ap.wps.com/l/cbCaicjwskdvKvSi","pdf",207722,"English","# Program Eligibility and Exclusions\n## How Individuals Are Identified\n## Eligibility Requirements\n## Benefit Plans That Exclude Participation\n## Dual Eligible Individuals\n# Customer Benefits and Care Delivery\n## Integrated Team Support\n# Required Documents for Enrollment\n## MDHHS 5515 Consent to Share Behavioral Health Information\n## OHH Program Enrollment Consent Form\n## Treatment Needs Questionnaire and Assessments\n## OHH Care Plan Contents and Update Cadence\n# Document Submission and Enrollment Processing\n## How Partners Submit Documents to SWMBH\n## Provider Notification After Processing\n# OHH Encounters and Billing\n## What Counts as an Encounter\n## OHH Service Encounter Coding Requirements","[{\"question\":\"How can Home Home Partners identify individuals to participate in OHH?\",\"answer\":\"Home Home Partners can identify eligible customers from their current customer roster, and SWMBH’s Access Department screens new customers for eligibility when they request treatment options information.\"},{\"question\":\"What eligibility requirements must customers meet for OHH?\",\"answer\":\"Customers must live in Kalamazoo or Calhoun counties, have an opioid use disorder diagnosis, and have active Medicaid or HMP in those counties without being enrolled in another waiver program.\"},{\"question\":\"What documents are required for individuals enrolled in OHH?\",\"answer\":\"Partners must submit MDHHS 5515 consent to share behavioral health information, the Opioid Health Home program enrollment consent to treatment form, the Treatment Needs Questionnaire, the biopsychosocial assessment, and the OHH care plan within 30 days of enrollment.\"}]","Opioid Health Home Frequently Asked Questions - Program Eligibility, Benefits, and Document Requirements - June 2021 | PDF",1790107015]