Enhanced (HARP) Plan

Adult Medicaid and HIV Special Needs Plan (SNP) enrollees who are 21 or older with serious mental health conditions (mental illness and/or substance use disorders) are eligible to receive covered benefits.

Eligible individuals will be identified by the State if they are qualified to enroll giving them the opportunity to join a MetroPlusHealth Enhanced plan.

People who are eligible will get a letter in the mail informing of their eligibility and giving them the opportunity to opt out.

HARP enrollees will receive access to Medicaid, behavioral health, and an additional package of Home and Community Based Services (HCBS).

We use Health Homes to coordinate services for our members. If you choose to join a Health Home, MetroPlus can help you enroll in a Health Home that will assign you a personal Health Home Care Manager. Your Health Home Care Manager can help you make appointments, help you get social services, and keep track of your progress.

Your Health Home is responsible for giving you an assessment to see what Behavioral Health Home and Community Based Services you may need. Using the assessment, you and your Health Home Care Manager will work together to make a Plan of Care that is designed especially for you.

In addition to managing all of your current Medicaid and Behavioral Health and CORE Services, the Enhanced (HARP) also covers Home and Community Based Services (BH HCBS). BH HCBS provide opportunities for Medicaid recipients with behavioral health conditions to receive specialized support services in their home or community.

Health Home Care Managers help you make appointments with your providers, stay on top of your medications and coordinate care across all of your treating clinicians. They also assess need for Behavioral Health Home and Community Based Services (BH HCBS). Working with your Health Home care managers, you will be given the opportunity to complete an assessment to determine which Home and Community Based services you are eligible to receive.

List of covered BH HCBS services:

• Rehabilitation: Rehabilitation services are designed to restore an individual’s functional level to the highest degree possible and to facilitate integration into the community.
• Crisis Intervention Benefit Transition: Effective February 1, 2022, BH HCBS Short-term and Intensive Crisis Respite services transitioned to Crisis Intervention Benefit Crisis Residence services, available to all Adult Medicaid Managed Care members

Effective February 1, 2022, BH HCBS services covered in Enhanced (HARP) include:

• Habilitation: Habilitation services, which are typically provided on an individual basis, are designed to assist members in improving skills such as communications, activities of daily living, socialization, and use of community resources.
• Education Support Services
• Pre-vocational services that prepare individuals for employment.
• Transitional employment services are available to strengthen an individual’s work record and work skills.
• Intensive Supported Employment
• Ongoing Supported Employment
• Non-Medical Transportation: Non-Medical Transportation services are offered to members to access transportation to destinations that are related to achieving recovery such as a job interview, a college fair, a wellness seminar, or other relevant activities.

• Peer Supports: Peer Support services are delivered by peers with a recovery focus and promote skills for coping with one’s behavioral health condition(s).
• Educational Support Services: Educational Support Services are designed to assist individuals who want to start or return to school or formal training with a goal of achieving skills necessary to obtain employment. MetroPlusHealth’s Enhanced (HARP) is designed to provide person-centered recovery services that emphasizes and supports an individual’s potential for rehabilitation by maximizing quality of life and reducing symptoms of behavioral health conditions. Through empowerment, choice, treatment and education MetroPlusHealth’s Enhanced (HARP) promotes recovery, health and well-being.