HIPAA compliant, BAA available

Measurement-Based Care for Maine Mental Health Teams

For community behavioural health agencies, health centres, group practices and solo clinicians from York County to Aroostook. Send validated scales by email or QR code so clients can answer from home, see each one scored on submission, and keep a running record of change that does not depend on a long drive to the office. US customer data stays in Google Cloud US regions.

Schedule a WalkthroughBrowse assessments
HIPAA compliant, BAA available
Data hosted in the US
SOC 2 Type II
Scored on submission
100+
validated assessments
BAA
for HIPAA covered entities on request
US
regions keep US customer data
$25
per month

Maine Has Tested New Ways to Pay for Behavioural Health

  • Maine has repeatedly used its public programs to change how behavioural health care is organized and paid for, and researchers have measured what followed. Under the federal State Innovation Models initiative, the state helped Medicaid-participating behavioural health providers become behavioural health homes, with capitated payments, a connection to the state's health information exchange and one-to-one technical assistance. A peer-reviewed evaluation of 2014 to 2017, listed in the research below, found the model well received by providers but saw no change in hospital use after enrolment, while total Medicaid spending rose.

    Earlier, the state's Office of Substance Abuse introduced performance-based contracting in its substance use treatment system. The published analysis found agencies on performance contracts no quicker to see clients than other agencies, and noted that the timeliness measures only became available once the contracts began.

    Both evaluations report admissions, spending and waiting times rather than symptom scores. Symptom change becomes visible when the care team records it. HiBoop sends the PHQ-9, GAD-7, TAPS and other scales by email or QR code, scores each on submission and charts every client's results, with CSV and PDF exports for your own reporting. It does not report to MaineCare or the state.

  • Behavioural Health Homes

    Medicaid providers moved to a health home model under the State Innovation Models initiative, studied from 2014 to 2017

  • Paying for Performance

    Timeliness, engagement and retention measures introduced in the state's substance use treatment system

  • Symptom Change Stays With the Clinic

    The published evaluations report use, spending and access; symptom change is recorded visit by visit by the care team

All regions

What HiBoop Does for Maine Care Teams

  • Maine's own research spans rural health centres and city practices, and its laws let young people seek their own mental health and substance use care. HiBoop sends and scores the measures so your clinicians can spend their time on the clinical work.

  • Check-Ins That Do Not Need a Drive

    Clients complete the PHQ-9 or GAD-7 on their own phone from an emailed link, between visits or before a telehealth session, and the score is waiting for you when you open their chart.

  • A Running Record of Change

    Each repeat score is added to one chart per client, so improvement or a stall is visible at a glance and can inform your clinical judgement at the next session.

  • Exports for Your Records and Reports

    Download a client's history as CSV or PDF for a treatment plan review, a records request or your agency's own outcome reporting. You can export the whole account at any time.

  • Substance Use Screening Built for Primary Care

    The TAPS was tested in three Maine federally qualified health centres, where staff rated its content and fit with the workflow favourably. It sits beside the ASSIST and CRAFFT-2.1 in the library.

  • Agencies and Group Practices

    Team and Network plans bring every clinician and site into one account, with role-based access so staff see only the clients their role covers.

  • Scales for Young People

    Maine law lets a minor consent to treatment for emotional or psychological problems and for substance use disorder. For youth services, HiBoop includes the PHQ-A, the SCARED and the CRAFFT-2.1.

Mental health in Maine

Research data

  • Each figure below links to the source it comes from.

  • 26.7%

    of Maine adults had any mental illness in the past year (model-based annual average, 2023-2024)

    SAMHSA NSDUH, 2023-2024

  • 20.3%

    of Mainers aged 12 to 17 had a major depressive episode in the past year (annual average, 2023-2024)

    SAMHSA NSDUH, 2023-2024

  • 27.3%

    of Maine adults received mental health treatment in the past year (2024)

    SAMHSA NSDUH, 2024

  • 22.4%

    of Mainers aged 12 or older had a substance use disorder in the past year (annual average, 2023-2024)

    SAMHSA NSDUH, 2023-2024

Research from Maine

  • PHQ-9 and GAD-7 in pediatric primary care

    Among 180 adolescent and young adult patients at four primarily pediatric practices in Maine who completed the PQ-16, GAD-7 and PHQ-9, depressive symptoms and suicidal ideation most consistently predicted psychosis risk.

    Mullen et al., Journal of Psychiatric Research, 2026 PMID 41167075

  • TAPS screening in health centres

    Focus groups with 19 medical assistants and 13 primary care providers at three federally qualified health centres in Maine, about a month after TAPS screening began, found the tool was being used and its content, credibility and workflow fit were rated favourably, though use of the decision support was lower.

    Moore et al., Substance Abuse, 2021 PMID 33264087

  • Medicaid behavioural health homes

    For 7,560 enrollees in Maine's Medicaid behavioural health homes, analyses showed no change in inpatient admissions, 30-day readmissions or emergency department visits after enrolment, and total Medicaid expenditures rose by $170 per beneficiary per month.

    Romaire et al., Psychiatric Services, 2020 PMID 32933410

  • Early identification of psychosis

    After the PIER program began in 2001, the rate of first hospital admission for psychosis in Greater Portland fell by 26%, while it rose by 8% in aggregated urban comparison areas of Maine; 148 young people received treatment.

    McFarlane et al., Psychiatric Services, 2014 PMID 24632857

  • Performance-based contracting

    Using 9,128 treatment admission records from Maine's substance use treatment data system, researchers found no significant difference in timely access to outpatient or intensive outpatient assessment and treatment between agencies with performance-based contracts and other agencies.

    Brucker et al., Journal of Behavioral Health Services and Research, 2011 PMID 21249461

Where Measurement Fits in Maine's System

  • HiBoop is independent of these programs and does not connect to state systems. These are the programs and rules Maine care teams work alongside.

  • MaineCare Behavioral Health Homes

    State Innovation Models

    Maine supported Medicaid behavioural health providers in becoming behavioural health homes for adults with serious and persistent mental illness and children with serious emotional disturbance. Interviewees described challenges in understanding team roles, sharing clinical data and integrating with primary care. A multistate review found primary care and specialty care use rose by 3% and 8% among participants, and antidepressant adherence improved.

    Health homesSerious mental illnessCare coordination

  • Performance-Based Contracting

    Substance use treatment

    Maine's Office of Substance Abuse tied part of its treatment contracting to performance. The published analysis looked at timely access to outpatient and intensive outpatient assessment and treatment, and at participation, retention and completion. Outpatient engagement and retention measures were poorer the year after the change, which the authors linked more to timing than to the contracts themselves.

    TimelinessRetentionOutpatient and IOP

  • Early Psychosis Identification in Portland

    PIER program

    The Portland Identification and Early Referral program began in 2001, finding young people aged 12 to 35 at risk of psychosis through schools, health and mental health settings and treating eligible participants for 24 months. Its evaluation, in the research below, compared first hospital admissions for psychosis in Greater Portland with other urban areas of Maine.

    Early identificationAges 12 to 35Psychosis risk

  • MaineCare and the Department

    22 M.R.S. s.3173

    The Department of Health and Human Services administers medical care programs for people with low incomes, sets eligibility and covered services by rule, and must post fee schedule changes from cost-of-living increases on its public website. Check the current MaineCare Benefits Manual with your billing lead before relying on any code.

    MaineCareFee schedulesRulemaking

Care Teams Across Maine

  • HiBoop runs in the browser, so the same check-ins work for a group practice in Portland and a clinician covering a large rural county. Each line points to work done in the area.

  • Greater Portland

    Home to the PIER early psychosis program and to MaineHealth, whose pediatric practices took part in research on PHQ-9, GAD-7 and psychosis-risk screening.

  • Augusta and Kennebec

    The state capital, where the Department of Health and Human Services administers MaineCare.

  • Bangor and Penobscot

    Penobscot Community Health Care, based in Bangor, was part of the research team that brought TAPS screening into rural health centres.

  • Aroostook County

    Maine's northernmost county, where checking in by email or QR code between visits can save clients a long trip.

  • Downeast and Midcoast

    Coastal communities where the same email and QR code check-ins work for clients who see their clinician by telehealth.

Data sovereignty

Why Maine clinics choose HiBoop

  • Outcome Tracking for Maine Programs

    • Customer data for the US is kept in Google Cloud US regions, encrypted in transit and at rest
    • SOC 2 Type II certified, HIPAA compliant, and a BAA for covered entities
    • Access set by role, and a record kept whenever client data is viewed or exported
    • Care runs $25/month, month to month, and you can begin without a credit card
    • Clients respond on their own phone, through a link by email or a QR code in the waiting room

  • USD pricing & support

    Transparent pricing in USD with flexible payment options for clinics of every size.

    Care
    One clinician, month to month
    $25
    USD/month
    Team
    Starting price, unlimited clinicians
    $200
    USD/month
    Network
    Multi-site organizations
    Custom
    Enterprise pricing

100+ validated scales for Maine clinics

  • Validated scales grouped by what they measure, each with its scoring and source. Public programmes often call this routine outcome monitoring (ROM), or patient-reported outcome measures (PROMs): the same practice of giving a validated scale at regular points and reading the scores over time.

  • Depression and Anxiety

    • PHQ-9 (Depression)
    • GAD-7 (Anxiety)
    • C-SSRS Screener (Suicide Risk)

  • Substance Use

    • TAPS (Tobacco, Alcohol and Other Substances)
    • ASSIST (Substance Involvement)
    • CRAFFT-2.1 (Youth Substance Use)

  • Youth and Trauma

    • PHQ-A (Adolescent Depression)
    • SCARED (Child Anxiety)
    • PCL-5 (PTSD)
Browse all assessments

Maine Health Information and Minors' Consent

  • HIPAA is the federal floor. Maine adds its own statute on the confidentiality of health care information, a separate rule for records of people served by the Department, and broad rights for minors to consent to mental health care. These laws do not certify software; the duties are your organization's, and HiBoop's safeguards help you meet them.

  • What Maine law asks

    • Keep an individual's health care information confidential and disclose it only to the individual or as the statute allows; a written authorization to disclose must contain the elements the law lists, and it can be in electronic form (22 M.R.S. s.1711-C)
    • Expect civil penalties of up to $10,000 for practitioners and $50,000 for facilities when intentional violations are frequent enough to be a general business practice (22 M.R.S. s.1711-C)
    • Keep confidential the records of clients of the Department of Health and Human Services, disclosing them only with informed written consent or on the grounds the law lists (34-B M.R.S. s.1207)
    • Accept a minor's own consent to treatment for substance use disorder or for emotional or psychological problems (22 M.R.S. s.1502)

  • What HiBoop provides

    • A business associate agreement for HIPAA covered entities
    • Hosting in Google Cloud US regions for US customers, with encryption in transit and at rest
    • Role-based access, so a minor's results are visible only to the staff you choose
    • SOC 2 Type II certification, with the controls explained on our trust page

  • Considering HiBoop for your Maine practice?

    The trust page covers where data is hosted, how it is encrypted, who can access it and our SOC 2 Type II certification. Write to us for a BAA or help with your vendor review.

    Go to the trust centre

Grants & funding for Maine mental health clinics

Funding Guide

  • Public and private funding programs that support measurement-based care implementation.

  • SAMHSA — Substance Abuse and Mental Health Services Administration

    Certified Community Behavioral Health Clinic (CCBHC) Expansion Grants

    Tech eligible

    SAMHSA’s CCBHC grants fund detailed behavioral health services including the infrastructure, staffing, and technology required to meet CCBHC standards. Outcome measurement and digital assessment platforms are explicitly eligible as required infrastructure for CCBHC certification.

    $1M–$5M/yearLearn more

  • SAMHSA

    Mental Health Block Grant (MHBG)

    Tech eligible

    States receive federal MHBG funds and redistribute them to community mental health organizations. Technology, quality improvement, and workforce development are eligible uses. Contact your state mental health authority to understand how MHBG flows in your state.

    State-distributedLearn more

  • SAMHSA

    Primary and Behavioral Health Care Integration (PIPBHC)

    Tech eligible

    SAMHSA’s PIPBHC program funds integration of primary and behavioral health care, including the technology infrastructure needed to coordinate care across disciplines. Outcome measurement platforms and digital assessment tools are eligible as integration infrastructure.

    $500K–$900K/yearLearn more

  • HRSA — Health Resources and Services Administration

    Rural Health Network Development Program

    Tech eligible

    HRSA funds rural health networks to develop shared infrastructure including technology platforms, telehealth systems, and outcome measurement tools. Mental health-focused networks in rural areas can use this to fund shared digital assessment and measurement platforms.

    $250K–$500K/yearLearn more

  • HRSA

    Behavioral Health Workforce Development Program

    Tech eligible

    Supports expanding the behavioral health workforce through training, clinical placements, and technology-supported care delivery. Technology platforms that support supervision, measurement, and case management are eligible uses.

    $250K–$1MLearn more

  • CMS Innovation Center (CMMI)

    ACCESS Model — Behavioral Health Track

    Tech eligible

    The Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) model includes a Behavioral Health Track for practices treating depression and anxiety. It shifts from fee-for-service to monthly payments tied to outcomes — explicitly requiring technology-enabled care and outcome measurement.

    Enhanced per-patient paymentsLearn more
View all grants & funding

Resources for Maine practitioners

  • Billing guides, compliance documentation, and clinical practice resources.

  • Substance useTAPS Tool Guide

    How the two-part tobacco, alcohol and drug screen works in primary care

  • DepressionPHQ-9 Clinical Guide

    Scoring, severity bands and what a repeat score tells you

  • AnxietyGAD-7 Clinical Guide

    Scoring, cut-offs and using the GAD-7 alongside the PHQ-9

  • LibraryFull Assessment Library

    Every scale HiBoop describes, each with its validation references

Maine Law and Program Resources

Latest in mental health in California

Crisis and urgent help lines

More crisis lines

Measurement-based care

…starts with what we measure, and how long.

Frequently Asked Questions

  • Does Maine require measurement-based care?

    We found no Maine statute requiring outpatient clinicians to use standardized symptom scales. Maine has tied some public funding to performance, for example in substance use treatment contracting, and MaineCare service rules may set assessment requirements for particular services. We could not review the current MaineCare Benefits Manual for this page, so check the sections that cover your services.

  • Will HiBoop send our results to MaineCare or the state?

    No. HiBoop does not connect to MaineCare or state systems. It sends and scores scales, charts each client's results and exports them as CSV or PDF for whatever reporting your contracts require.

  • Can a teenager consent to counselling without a parent in Maine?

    Yes. Maine's consent law for minors covers treatment for emotional or psychological problems and for substance use disorder, with no minimum age. How you handle a parent's questions and who sees the record still depend on your policies and Maine's confidentiality law, so confirm the details with your counsel. HiBoop's role-based access lets you limit who sees a young client's scores.

  • Is HiBoop HIPAA compliant for Maine practices?

    Yes. HiBoop is HIPAA compliant and provides a business associate agreement to covered entities. Maine's confidentiality statute adds its own rules on disclosure and on what a written authorization must include, so check specific disclosures with your counsel.

Official sources for Maine

  • Health authorities

    1. 1.MaineCare (Office of MaineCare Services) · Medicaid agency
    2. 2.Maine Office of Behavioral Health · behavioural health agency

    Billing and payment routes

    1. 1.CMS MLN909432: Behavioral Health Integration Services · public program · codes 99484, 99492, 99493, 99494, G2214, G0323 (read in the document on 2026-11-01)
    2. 2.CMS Physician Fee Schedule look-up · fee schedule
    3. 3.SAMHSA: Certified Community Behavioral Health Clinics (CCBHC) · public program

    Fee codes and amounts are set by each payer and change; check the linked schedule before you bill. HiBoop does not submit claims.

    Regulators and licensing

    1. 1.ASPPB: psychology licensing boards · psychologists
    2. 2.ASWB: social work regulatory boards · social workers
    3. 3.Counseling Compact · counsellors
    4. 4.Social Work Licensure Compact · social workers

    Data and statistics

    1. 1.SAMHSA: NSDUH state reports
    2. 2.HRSA: HPSA Find (mental health shortage areas)
    3. 3.NIMH: mental illness statistics

    Listed for reference so you can find the official source. HiBoop is not affiliated with, and is not endorsed by, any of these organizations.