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.
Clare McNutt PA-C, Senior Vice President of Health System Integration, Meadows Mental Health Policy Institute, Austin, MD
Virna Little PsyD, MSW, Co-founder and Special Advisor, Advocacy and Research, Concert Health, San Diego, CA
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
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
Raney, L. (2020). Cracking the Codes: State Medicaid Approaches to Reimbursing Psychiatric Collaborative Care. California Health Care Foundation.
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/
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