Healthcare Integration & Innovation

APA Collaborative Care Model Resources

Collaborative Care Model Explainer Videos: Gives a high-level overview of the CoCM, including roles and responsibilities of the care team members, benefits of the care provided, and where to learn more. Click to view.  Also, see the video from a psychiatrist’s perspective.

CoCM Resource and Education Guide: This newly released guide offers a full compendium of CoCM resources and educational opportunities offered by the APA, including trainings and webinars, implementation resources and guides, and educational offerings related to the CPT codes and payment for care provided in the model.  Click here to view the guide.

Innovations in Health Care Delivery

The Maryland Hospital Association (MHA) launched a website, Innovations for Better Health, to showcase the innovations that put Maryland on the leading edge of care delivery transformation. It includes a searchable database and an opportunity to submit a case study of your own to be shared.  Innovations for Better Health can be used to:

  • Give providers and community organizations innovations to consider
  • Identify initiatives that are candidates for additional investment
  • Bring together community partners that can amplify transformation efforts

For more information or to submit your innovations, click here, or contact Erin Dorrien, MHA Director of Policy.

Innovative Practice Opportunity

In 2018, the State of Maryland recently announced that it has entered into a Total Cost of Care All-Payer Model contract with the Federal Government that is designed to coordinate care for patients across both hospital and non-hospital settings, improve health outcomes, and constrain the growth of health care costs in Maryland. A key element of the model is the development of a voluntary Maryland Primary Care Program (MDPCP), designed to support the delivery of advanced primary care throughout the state to improve health outcomes, while controlling total health care spending growth. Importantly, MDPCP places a special emphasis on integrating behavioral health into the primary care setting.

As of the August 31 deadline, nearly 600 practice sites, representing over 2,200 clinicians, had submitted applications to participate in the Maryland Primary Care Program (MDPCP) for 2019.

 

Implement Integrated Care

The APA website offers help for learning how to implement integrated care, including the Collaborative Care Model.  The information includes reimbursement for the model and funding opportunities available.  APA’s Support and Alignment Network and the Advancing Integrated Mental Health Solutions (AIMS) Center, in collaboration with the Institute for Family Health, created a Financial Modeling Workbook that helps practices more accurately:

  • Estimate visit volume and the number of patients served;
  • Define and analyze how much time staff engage in key integrated care tasks; and
  • Estimate fee-for-service and G-code potential revenues

If you have questions, please contact SAN@psych.org.

Different approaches can be taken by private practices to integrate behavioral health into primary or specialty care. The following AMA resources can help guide the decision on whether to integrate:
Behavioral Health Integration for Adult Populations
Behavioral Health Integration for Pediatric Populations

Getting Paid for Psychiatric Collaborative Care Services

APA On Demand Archived Webinar: This free webinar provides coding and documentation requirements that enable primary care practices providing psychiatric collaborative care services to bill appropriately.