[PC-BH-Integration] Funding primary care/behavioral health collaborations
John Young
jyoung at suclinica.org
Mon Aug 13 15:04:20 EDT 2007
"
I particularly appreciated Dr Blount's suggestions, especially his point that HRSA as madated that state Medicaid programs fund H&B codes in FQHCs.
Who else in Texas is interested in pushing for the state Medicaid program to honor that mandate?
I found Intermountain Healthcare's model at http://intermountainhealthcare.org/alumniprojectfiles/2004-029.pdf, (undated).
I see that the IMPACT website has updated its slide show on financing their model of primary care/behavioral health collaboration to address late-life depression at http://impact-uw.org/login.html.
-- 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
jyoung at suclinica.org
----- Original Message -----http://intermountainhealthcare.org/alumniprojectfiles/2004-029.pdf
From:<pc-bh-integration-request at lists101.his.com>
To:<pc-bh-integration at lists101.his.com>
Cc:
Date: Monday, August 13 2007 08:47 AM
Subject: PC-BH-Integration Digest, Vol 34, Issue 2
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Today's Topics:
1. Spam: RE: Looking for FQHCs that have successfully
fundedIntegrated Health Care mental health positions
(Blount, Alexander)
2. Re: Looking for FQHCs that have successfully funded
Integrated Health Care mental health positions
(JohnNickisson at ferris.edu)
3. Re: Looking for FQHCs that have successfully funded
Integrated Health Care mental health positions (Glenn, Lisa [PriCare])
----------------------------------------------------------------------
Message: 1
Date: Fri, 10 Aug 2007 10:39:07 -0400
From: "Blount, Alexander" <BlountA at ummhc.org>
Subject: [PC-BH-Integration] Spam: RE: Looking for FQHCs that have
successfully fundedIntegrated Health Care mental health positions
To: pc-bh-integration at lists101.his.com
Message-ID:
<1BB849C1E05F0F448C0A46B1B7B2F11B3C9738 at UMMHCEXCHMB04.umassmemorial.org>
Content-Type: text/plain; charset="us-ascii"
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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Message: 2
Date: Fri, 10 Aug 2007 09:24:26 -0400
From: JohnNickisson at ferris.edu
Subject: Re: [PC-BH-Integration] Looking for FQHCs that have
successfully funded Integrated Health Care mental health positions
To: pc-bh-integration at lists101.his.com
Message-ID:
<OFCB97B432.08DFC816-ON85257333.00497C12-85257333.0049A5E1 at ferris.edu>
Content-Type: text/plain; charset=US-ASCII
Hello All,
If I may 'piggy-back' on John's posting, I would be interested in hearing
from the same
here in Michigan.
Thanks,
John N.
John Nickisson, LLMSW., MA(Psy)., CAC-R.
------------------------------
Message: 3
Date: Fri, 10 Aug 2007 08:56:53 -0500
From: "Glenn, Lisa [PriCare]" <Lisa.Glenn at ci.austin.tx.us>
Subject: Re: [PC-BH-Integration] Looking for FQHCs that have
successfully funded Integrated Health Care mental health positions
To: <pc-bh-integration at lists101.his.com>
Message-ID:
<5CF09E0B44690847BEF76F83E732BB91014DA75B at COAEVS5.coacd.org>
Content-Type: text/plain; charset="us-ascii"
We are doing it in a collaboration with Austin/Travis County MHMR. You
can email me separately and I will send you the contact information for
the supervisor for the program, Andres Guariguata, to talk specifics
with him.
Thanks.
Lisa B. Glenn, M.D.
Senior Medical Director
Austin Travis County Community Health Centers
City of Austin Community Care Services Department
Phone (512) 972-4467
Fax (512) 972-4433
Pager (512) 802-9234
This e-mail message may contain information that may be privileged,
confidential and exempt from disclosure. It is intended for use only by
the person to whom it is addressed. If you received this message in
error, please do not forward or use this information in any way; delete
it immediately and contact the sender as soon as possible by the rely
option or by telephone at the telephone listed (if available). Thank
you.
________________________________
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 5:35 PM
To: pc-bh-integration at nccbh.net
Subject: [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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