Name
From Policy to Practice: State Medicaid Coverage for Collaborative Care Management Codes
Description
In the session participants will gain insight into the Medicaid coverage status of Collaborative Care Management codes across all fifty states. The session will include an overview of where attendees can find status and reimbursement rates for states of interests, and how individual state Medicaid reimbursement rates compare to Medicare reimbursement, highlighting disparities, opportunities, and trends. The session will also address the ever illusive, state-specific requirements that may affect the implementation of Collaborative Care programming.
Speakers
Nicole Portrude, Director of Health System implementation, Meadows Mental Health Policy Institute, Philadelphia, PA
Clare McNutt MS, LMHC, MHA, Clinical Trainer and Practice Coach, Meadows Mental Health Policy Institute, Bethesda, Texas
Dr. Virna Little PsyD, Co-Founder, Individual - Dr. Virna Little, San Diego, CA
Dr. Virna Little
Content Level
Intermediate
Tags
Collaborative Care Model of Integrated Care, Policy, Sustainability
Session Type
Concurrent
SIG or Committee
Collaborative Care Model (CoCM)
Objective 1
Examine variations in Medicaid coverage for the Collaborative Care Model across different states and identify their potential impact on implementation.
Objective 2
Apply knowledge of state-specific reimbursement policies for the Collaborative Care Model to optimize financial sustainability.
Objective 3
Collaborate with stakeholders to address policy barriers and advocate for enhanced Medicaid support for the Collaborative Care Model.
Content Reference 1
Carlo, A. D., Drake, L., Ratzliff, A. D. H., Chang, D., & Unützer, J. (2020). Sustaining the Collaborative Care Model (CoCM): Billing Newly Available CoCM CPT Codes in an Academic Primary Care System. Psychiatric Services, 71(9), 972–974. https://doi.org/10.1176/appi.ps.201900581
Content Reference 2
Chang, D., Morrison, D. J., Bowen, D. J., Harris, H. M., Dusic, E. J., Velasquez, M. B., & Ratzliff, A. D. H. (2023). Making It to Sustainability: Evaluating Billing Strategies for Collaborative Care. Psychiatric Services, 74(11), 1192–1195. https://doi.org/10.1176/appi.ps.20220596
Content Reference 3
Raney, L. (2020). Cracking the Codes: State Medicaid Approaches to Reimbursing Psychiatric Collaborative Care. California Health Care Foundation.
Content Reference 4
Improving Behavioral Health Care for Youth Through Collaborative Care Expansion. (2022). Meadows Mental Health Policy Institute. https://mmhpi.org/topics/policy-research/improving-behavioral-health-care-for-youth-through-collaborative-care-expansion/
Content Reference 5
Little, V., Mallow, A., & Gatanaga, O. (2022). Years After CMS Approved New Billing Codes For Collaborative Care, Confusion Persists. Health Affairs. https://www.healthaffairs.org/content/forefront/years-after-cms-approved-new-billing-codes-collaborative-care-confusion-persists