[PC-BH-Integration] Spam: RE: Looking for FQHCs that have successfully fundedIntegrated Health Care mental health positions

[Blount, Alexander]

I wish I could offer a clear and simple answer.  People who make this
work either live in a state that does pay H&B codes in FQHCs, like
Arizona, or they do some creative accounting.  Some have found that in
the presence of a BH clinician, physicians are able to see one or two
more patients comfortably per day.  Count that revenue toward BHC, or
when the BHC is involved a Level 3 visit can be upcoded to a Level 4, or
when a screening form is used by the BHC a modifier can be added to the
coding that increases revenue, or that where a public entity is funding
the ER and many people are uninsured, paying some of the cost of the
BHCs at the FQHC reduces ER usage for the public entity.  HRSA has
mandated that state Medicaid programs fund H&B codes in FQHCs, but most
states are not in compliance.  The actual mandate is at
www.integratedprimarycare.com on the first page in the article titled
"The Politics of Health and Behavior Codes".
 
At the Collaborative Family Healthcare Association conference in
Asheville, NC, Nov 8-10, we will have workshops on making integrated
care work financially and on advocacy for improving funding structures
and overcoming barriers.  www.cfha.net 
 

Alexander Blount, EdD

Professor of Clinical Family Medicine

University of Massachusetts Medical School

Director of Behavioral Science

Department of Family Medicine and Community Health

Chair

Collaborative Family Healthcare Association

55 Lake Avenue North

Worcester, MA 01655

O. 508.856.2147  F. 508.856.1212

blounta at ummhc.org

www.IntegratedPrimaryCare.com

 


________________________________

From: pc-bh-integration-bounces at lists101.his.com
[mailto:pc-bh-integration-bounces at lists101.his.com] On Behalf Of John
Young
Sent: Thursday, August 09, 2007 6:35 PM
To: pc-bh-integration at nccbh.net
Subject: [PC-BH-Integration] Looking for FQHCs that have successfully
fundedIntegrated Health Care mental health positions


All --

I am looking for any Federally Qualified Health Centers that have found
ways to fund mental health positions within their clinics within an
Integrated Health Care model.

In 2006, the Hogg Foundation for Mental Health, based in Austin, Texas,
awarded five Integrated Health Care Initiative grants to five health
care groups across Texas: one to the Parkland Health and Hospital
System's Bluitt-Flowers Health Center and East Dallas Health Center in
Dallas, Texas; a second to People's Community Clinic in Austin, Texas; a
third to the Project Vida Health Center in El Paso, Texas; a fourth to
Texas Children's Pediatric Associates' Ripley House in Houston, Texas;
and the fifth to the Valley Primary Care Network's four member clinics
(the Brownsville Community Health Center in Brownsville, Texas; the
Community Action Center of South Texas in Rio Grande City, Texas
[unfortunately dropping out of the Initiative this month]; Neustra
Clinica Del Valle in Pharr, Texas; and Su Clinica Familiar in Harlingen,
Texas). For information on this Initiative, see the Hogg Foundation's
website at http://www.hogg.utexas.edu/programs_ihc.html
<http://www.hogg.utexas.edu/programs_ihc.html> ,
http://www.hogg.utexas.edu/programs_ihc_program.html, and
http://www.hogg.utexas.edu/programs_ihc_links.html
<http://www.hogg.utexas.edu/programs_ihc_links.html> .

I am a Clinical Care Manager at Su Clinica Familiar
(http://www.suclinica.org/) in Harlingen, Texas (satellite clinics in
Brownsville and Raymondville, Texas). We joined the Initiative in the
second year of the three year grant, starting 05-01-2007 with four
1/2-time Care Managers (a MSW; a BSW; a LBSW; and myself, a LPC, LMFT,
LCSW).

We are expanding the IMPACT model beyond addressing late life depression
first to address adult anxiety as well as adult depression (including
pregnant patients); second to address pediatric ADHD and other
externalizing disorders; and third to address pediatric anxiety and
depression.

I have rapidly become convinced that we have to address the
business/funding aspects of our Integrated Health Care program earlier
rather than later for our program to become a hard-wired, core component
of Su Clinica Familiar?s ongoing operation. Even though our leadership
and staff are fully committed to the program, it must be seen as
permanent and not time-limited for everyone to really get all-the-way
behind it.

I don't believe we can bill under the Health and Behavior
Assessment/Intervention codes 96150-96155 here in Texas. I am in awe of
Intermountain Health Care and their websites
(eg,http://intermountainhealthcare.org/xp/public and
http://intermountainhealthcare.org/xp/public/managehealth/patiented/ment
alhealth/resources.xml).

-- John

John Young, LPC, LMFT, LCSW
Clinical Care Manager, Wellness Program
Su Clinica Familiar, Harlingen, Texas
Office Phone (956) 365-6000 x 1310
Cell Phone (956) 371-4401







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