Behavioral Health Integration

​​​​​​​​Welcome to the Behavioral Health Integration website. ​This page provides information and updates on the Department’s ongoing efforts to integrate the State’s mental health and substance use disorder services and systems. Additional information about the integration process beginning in 2012 may be found here​. Please check this page regularly for additional updates regarding Maryland’s Behavioral Health Integration.
Please click here​ for a 2014 update on the Behavioral Health Integration process from former Acting Deputy Secretary for Health Care Financing Charles Lehman and former Deputy Secretary of Behavioral Health Dr. Gayle Jordan-Randolph.​

Opiate Dependence Treatments Drug Class on the Maryland Medicaid Preferred Drug List:

Effective July 1, 2016 Maryland Medicaid made Zubsolv® sublingual tablets preferred on our Preferred Drug List (PDL), whereas the Suboxone® Film will became non-preferred. 

Effective July 1, 2017 Maryland Medicaid added Bunavail® Film, Suboxone® Film, and Vivitrol® Injection as preferred agents in the Opiate Dependence Treatment Drug Class. Additional communication will be released regarding the appropriate procedure codes for each medication in July. ​


Behavioral Health Administrative Services Organization (ASO)

The Department of Health and Mental Hygiene released a Request for Proposal (RFP) for an administrative services organization (ASO) for Maryland's Public Behavioral Health System in February 2014. We are pleased to announce that Beacon Health Options is awarded the contract by unanimous decision by the Board of Public Works, with additional information available on pages 64-66 of the Board's agenda. Additional information about Beacon Health Options Maryland is available at


Key Dates for the ASO Transition

  • September 3, 2014: Beacon Health Options is awarded the ASO contract.
  • January 1, 2015: ASO contract goes into effect, SUD providers begin billing the ASO for public behavioral health services delivered 1/1/15.


Key Dates for the ASO Transition 

·         September 3, 2014: Beacon Health Options is awarded the ASO contract.


·         January 1, 2015: ASO contract goes into effect, SUD providers begin billing the ASO for public behavioral health services delivered 1/1/15.​

Questions about the ASO Transition

Please click for here to view frequently asked questions regarding the ASO transition. Any additional questions can be submitted to

Provider Forums and Trainings​

Leading up to January 1st, 2015, MDH and Beacon Health Options hosted regional forums to introduce providers to the ASO’s ProviderConnect system, update stakeholders on the implementation process, and introduce the Beacon Health Options team. For more information and a schedule of the forums, please click here
Beacon Health Options Maryland is conducting ongoing training to familiarize providers with the VO ProviderConnect system.  A schedule of trainings is available here.

Behavioral Health Administration (BHA)

Effective July 1, 2014, the Mental Hygiene Administration and Alcohol and Drug Abuse Administration merged to become the Behavioral Health Administration (BHA). The organizational chart for the BHA is available here: Organizational Chart​.

Behavioral Health Integration Stakeholder Workgroup

The Department has convened a stakeholder workgroup to make recommendations on issues related to behavioral health, including statutory and regulatory changes to fully integrate mental health and substance use disorder treatment and recovery support; and promote health services. For more information on this process, please contact

CDC Guidelines for Prescribing Opioids for Chronic Pain

As part of the urgent response to the epidemic of overdose deaths, CDC issued new recommendations for prescribing opioid medications for chronic pain, excluding cancer, palliative, and end-of-life care. The CDC Guideline for Prescribing Opioids for Chronic Pain, United States, 2016 will help primary care providers ensure the safest and most effective treatment for their patients.


For a brief overview of the guidelines please see the document here ​

For the CDC Guidelines in full please see here

For additional resources from the CDC please see here


Re-bundling Proposal​

The Department of Health and Mental Hygiene announces that effective May 15, 2017, it will implement a new payment policy for community-based Opioid Treatment Programs (OTPs). This initiative was developed to align our payment policy to clinical best practices that indicate methadone and counseling together result in better patient outcomes than treating patients with methadone alone.

Joint Operations Team Meetings for Rebundling Implementation

December 2015 Re-bundling Documents

January 2016 Re-bundling Updates

February 2016 Re-bundling Updates

April 2016 Re-bundling Documents
  • Based on stakeholder input, please find an updated re-bundling proposal here. 
  • In addition, please find a letter introducing this proposal and the process moving forward, written by the Deputy Secretary for Health Care Financing, Shannon McMahon, here.​

September 2016 Re-bundling Initiative

The Department reviewed nearly 25 letters and emails submitted by stakeholders providing comments and suggestions regarding the April 22, 2016 re-bundling initiative. Based on these comments and additional conversations with stakeholders, this final iteration is being shared with stakeholders along with our responses to the comments received.
  • Final iteration of re-bundling initiative
  • ​Stakeholder comments and responses to April 2016 re-bundling proposal

​March 2017  Re-bundling Initiative Documents

The Department reviewed close to 10 letters and emails submitted by stakeholders providing comments and suggestions regarding the proposed regulations posted in the Maryland Register in December 2016. The Department reviewed and responded to stakeholders in February 2017. Please find below a spreadsheet of comments and Departmental responses. Based on these reviews, the Department has set a final implementation date of May 15, 2017. Beacon Health Options will communicate details of implementation through provider alerts and will be offering numerous trainings before the May 15, 2017 implementation date. 
If you are a participant in need of behavioral health assistance, please call 1-800-888-1965.