[PC-BH-Integration] Released from eSafe SPAM quarantine: Looking for FQHCs that have successfully funded Integrated Health Care mental health positions

[McGlathery, Michael]

Hi: I don't know all the details of your clinic but we have been
successful billing for LCSWS for the 96,000 series behavioral health
codes. It helps to tie it into a medical problem. For example,
depression has other problems associated with it such as appetite gain
or loss, sleeping loss or gain, etc.  Our state (California) will not
allow us to bill same day service yet so we have to eat the cost of one
of the visits on the same day. We are also funded by an MSA Tobacco Fund
grant. This ends in 2008. We then hope to shift part of our funding to
something I never believed would happen. We passed what I call a wealth
tax a couple of years ago. It is called the Mental Health Services Act.
We also have other integrated programs in the area that have partial
funding through the California Endowment which is equivalent to the Hogg
Foundation in Texas. Long story is that there is not long term solution.
We can probably pay for positions if the government changes the same day
rule considering that many of our appointments are "warm handoffs" by
the primary care provider. The Collaborative Family Health Care
Association is a wonderful resource. There convention is a great way to
network with other folks in the field and the next meeting is in North
Carolina in November. Go to (www. Integratedprimarycare.com) and you
should be able to look at the website if you don't know about it
already. Hope this helps

 

Michael McGlathery, PhD

Behavioral Health

Family Health Services

Solano County Health and Social Services

2101 Courage Dr. MS 10-100

Fairfield, Ca. 94533

________________________________

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 3:35 PM
To: pc-bh-integration at nccbh.net
Subject: Released from eSafe SPAM quarantine: [PC-BH-Integration]
Looking for FQHCs that have successfully funded Integrated 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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