Collaborative Care Model in Behavioral Health

Collaborative Care: CAHA Overview 11/18/21 William Beecroft, M.D., D.L.F.A.P.A. Medical Director, Behavioral Health Strategy and Planning BCBSM

What is the Collaborative Care Model? The PCP office bills the Collaborative Care codes and reimburses the psychiatrist; the psychiatrist does not bill the insurer for his or her time * New elements of the team process utilized in the Collaborative Care model 2 Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.

BCBSM status to date Approximately 275 traditional CoCare practices trained and operational. 1200 providers trained 800 providers paid incentive for utilizing the CoCare codes and enrolling patients 8400 patients enrolled currently 20 Pediatrics practices trained since Aug of 2021 with new pediatrics module curriculum developed in collaboration with U of M and MiCCSi

Codes to bill for Collaborative care case management For FFS medical practices including Medicaid Initial month assessment Subsequent month first hour Initial and subsequent month hour add on code(bill units to encompass time utilized in the month) once initial code time utilized Initial and subsequent month less than 30 minutes General case management code less than 20 min/month (may not work if clinic receives prospective payment funds)(PMPM) G0512 G0512 G2214 N/A 99484 For FQHC Initial month assessment Subsequent month first hour Initial and subsequent month hour add on code(bill units to encompass time utilized in the month) once initial code time utilized Initial and subsequent month less than 30 minutes General case management code less than 20 min/month 99492 99493 99494 G2214 99484