This document is the approval issued on November 2, 2021, by the Centers for Medicare & Medicaid Services (CMS) for a Medicaid state plan amendment submitted by the Michigan Department of Health and Human Services (MDHHS) to expand its Opioid Health Home (OHH) program. MDHHS sought to expand OHH to more counties, specifically those in Prepaid Inpatient Health Plan (PIHP) Regions 6, 7, and 10. The PIHPs manage Medicaid and non-Medicaid public specialty behavioral health services. With this approval, the OHH services are now available in seven PHIP regions,

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