Providing behavioral health services in primary care settings is an integral component of comprehensive quality care and medical home initiatives. NACHC supports integration of behavioral health in primary care settings and is coordinating activities with the Health Resources Services Administration (HRSA) and the Substance Abuse and Mental Health Services Administration (SAMHSA) to assist health centers to fully implement these services.
Featured Article: Primary Care: A Crucial Setting for Suicide Prevention
Primary care providers have enormous potential to prevent suicides.
Up to 45% of individuals who die by suicide have visited their primary care physician within a month of their death; additional research suggests that up to 67% of those who attempt suicide receive medical attention as a result of their attempt. Given these statistics, primary care has enormous potential to prevent suicides and connect people to needed specialty care — especially when they collaborate or formally partner with behavioral healthcare providers.
Find out from Jerry Reed, Director of the Suicide Prevention Resource Center, how these providers can connect people to needed specialty care — and save lives.
The Fall/Winter issue of NACHC’s Community Health Forum magazine is devoted to the theme, Integrating Behavioral Health and Primary Care. Colleagues from the health center community have contributed content on timely and thoughtful topics, including models for integration, behavioral health screening and intervention in primary care, and partnering in the community; the intersection of behavioral health and culture; and the integration of behavioral health services in patient centered health homes. The magazine is available electronically here.
UPCOMING TRAINING OPPORTUNITIES
Free Webinars Focused on Veterans' Behavioral Health: 2013 Webinar Series
February 2013. The Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury (DCoE) hosts free monthly webinars to provide information and facilitate discussion on a variety of topics related to Veterans' psychological health and traumatic brain injury. All Webinars are scheduled from 1:00 to 2:30 pm Eastern time on the day of the Webinar: January 24: Substance Abuse and Traumatic Brain Injury (archived version available here); February 28: Chronic Pain; March 28: Vestibular Disturbances after mTBI; April 25: Military Children and Coping with Grief/Loss; May 16: Mental Health and the National Guard/Reserves; June 27: Sleep; July 25: Violence Risk Assessment; August 22: TBI 101; September 26: Evidenced Based Treatment for Depression and Suicidal Behavior; October 24: Sexual Trauma, Sexual Harassment, and Sexual Assault in the Military; November 21: Integration of Technology into Psychological Health and Traumatic Brain Injury. Continuing Education Credit is available.
Integrated Behavioral Healthcare Services Capacity-Building: Health Centers Invited to Join Nine-Month NACHC Behavioral Health Integration Virtual Learning Community (LC)
Your health center doesn’t have to do it alone! If you understand the value of behavioral health services for patients but have encountered local challenges that have slowed development of integrated behavioral health services at your health center, now is the time to act. NACHC invites you to tap into the collaborative power of Health Center Teams and Behavioral Health Integration Experts working together across the country to achieve integrated behavioral healthcare within their practice. Funded through the SAMHSA-HRSA Center for Integrated Health Services, NACHC is offering health centers the opportunity to participate in a nine-month “Behavioral Health Integration Virtual Learning Community (LC)” focused on assisting health centers build capacity for delivering integrated behavioral healthcare services. The LC model offers the benefit of conventional learning communities and has the advantage of allowing health center teams to fully participate in three extended learning sessions, topical webinars, and interactive sessions with other teams, without leaving their health center. Additionally, each health center team will have regular telephone coaching calls with Behavioral Healthcare Integration Experts throughout the course of the LC. Contact Dirk Bokeloh for more information.
CIHS Billing Worksheets Make Financing Integrated Services Easier
Financing is one of the key elements in integrating primary and behavioral healthcare services. Once you determine the best clinical model for your program, it is necessary to determine how the financing supports it. And while financing is often viewed as a barrier to sustaining primary and behavioral healthcare integration activities, there are nearly always means of reimbursement.
To help you bill Medicare and Medicaid optimally for integrated services, the SAMHSA-HRSA Center for Integrated Health Solutions (CIHS) has developed customized Billing and Financial Worksheets for each state that identify existing billing opportunities for services provided in integrated healthcare settings. In states where the identified codes are not currently reimbursable, the worksheets identify areas where you can engage your state agencies on reimbursement for services provided in integrated settings.
Get to know all the reimbursement opportunities available to you to prevent denials or delayed claims payments, save time and resources, and capitalize on reimbursement opportunities. Download your state billing and financing worksheet.
SAME DAY BILLING
CPT® experts explain how to use modifier 59 correctly to denote distinct, independent procedural services performed on the same day
A newly archived AMA webinar helps physicians and professional coders navigate the intricacies of reporting modifier 59.
Used to denote distinct, independent procedural services performed on the same day, modifier 59 is commonly misapplied. This 20-minute webinar is presented by AMA CPT® coding experts and explains the proper and improper uses of the modifier to help physicians avoid compliance issues and lost revenue.
View this and other archived AMA webinars on key practice management topics.
Free Screening, Brief Intervention & Referral to Treatment (SBIRT) Trainings
The Substance Abuse and Mental Health Services Administration (SAMHSA) is offering free SBIRT Trainings to be held at various grantee sites around the country. Click here for more information and to register. SBIRT is a comprehensive, integrated, public health approach to the delivery of early intervention and treatment services for people with substance use.
ARCHIVED WEBINARS CONDUCTED BY THE SAMHSA-HRSA CENTER FOR INTEGRATED HEALTH SOLUTIONS (CIHS)
RECENT PRESENTATIONS AND RELATED ADDITIONAL TOOLS, RESOURCES, AND INFORMATION
National Provider Call: Video Slideshow Presentation and Podcasts from Call on the Five New Medicare Preventive Services Now Available
CMS has released a YouTube Video slideshow presentation and podcasts from the August 15 National Provider Call on the Five New Medicare Preventive Services.
• Podcast 1 of 5: Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse
• Podcast 2 of 5: Screening for Depression in Adults
• Podcast 3 of 5: Intensive Behavioral Therapy for Cardiovascular Disease
• Podcast 4 of 5: Screening for Sexually Transmitted Infections and High-Intensity Behavioral Counseling to Prevent STIs
• Podcast 5 of 5: Intensive Behavioral Therapy for Obesity
Medicare Learning Network “Screening for Depression” Booklet Now Available
The Screening for Depression Booklet is now available in hard copy format. This booklet is designed to provide education on screening for depression. It includes coverage, coding, billing, and payment information. To access a new or revised product available for order in hard copy format, go to MLN Products and click on “MLN Product Ordering Page” under “Related Links” at the bottom of the web page.
Chronic Pain: An Integrated Care Approach
Chronic pain affects millions of Americans, including those living with mental illnesses and addictions. In fact — as is the case with many chronic physical health conditions — behavioral health conditions are strongly connected to chronic pain, considering that behavioral health disorders are notably modulators of pain and more common among people with chronic pain.
This webinar will describe a novel approach to treating chronic pain via an integrated team of providers that includes a primary care physician, mental health professional, and pain medicine specialist. Such a multidisciplinary team from the Community Health Center of Central Missouri will shepherd the discussion, detailing this approach’s history, treatment goals, and case studies. They will also discuss the importance of gaining access to adequate chronic pain treatment for underserved or underinsured populations. In the end, this webinar will guide providers toward improving outcomes for patients living with chronic pain and receiving integrated primary and behavioral healthcare. By the end of the webinar, participants can expect to:
- Explore the link between chronic pain and behavioral health;
- Understand the multidisciplinary, integrative approach to treating patients with chronic pain;
- Gain general knowledge of the current practice of pain medicine;
- Develop strategies for treating patients who lack access to quality pain management services.
Target Audience: Administrators, S/RPCA Directors, Finance Directors, Clinicians, Nurses, Social Workers, Medical Directors. Speakers: Richard Lillard, PsyD, Pain Psychologist, Community Health Center of Central Missouri; Katherine Friedebach, MD, Chief Clinical Officer, Community Health Center of Central Missouri; Karl Haake, MD, Pain Clinic Director, Community Health Center of Central Missouri.
Free 14-part series of live, interactive, online trainings for community primary care and mental health providers.
One in three U.S. Service Members returning from Iraq or Afghanistan experiences signs of combat stress, depression, post traumatic stress disorder (PTSD) or symptoms of a traumatic brain injury (TBI).
Only 50% receive their health care through the VA. Other vets and their families will seek care in community settings. Primary care, community mental health clinicians and other providers want to be prepared.
The Red Sox Foundation and Massachusetts General Hospital Home Base Program, in collaboration with the VA’s National Center for PTSD, is providing this free, CME/CE-certified educational series of 14 one-hour sessions to help you prepare. It’s our turn to serve those who served us.
Listen and interact with clinical experts who share research, knowledge and experience to help you:
- Diagnose and treat PTSD and TBI with traditional and complimentary evidence-based therapy;
- Recognize and address emotional stresses in spouses, parents, and children of veterans with PTSD or TBI;
- Support the needs of military families;
Target Audience: This program is intended for: primary care and community mental health providers, pediatricians, community health centers, community mental health centers, college and university health professionals, psychiatric nurses, physician assistants, nurse practitioners, social workers, employee assistance programs, clergy and other first responders.
Location: Online; all of the 14 sessions are available for on-demand viewing
Credits: Up to 1 CME/CE credit per session.
Mental Health First Aid at http://www.mentalhealthfirstaid.org/
Solution Focused Therapy Treatment Manual for Working with Individuals. Research Committee of the Solution Focused Brief Therapy Association, 2010: Terry S. Trepper, Eric E. McCollum, Peter De Jong, Harry Korman, Wallace Gingerich and Cynthia Franklin. http://www.sfbta.org/Research.pdf
Medication Assisted Treatment of Substance Use Disorders in Community Health Centers
SAMHSA Treatment Improvement Protocol (TIP) Series (in particular TIPS 35, 40, 43, and 49) at http://www.kap.samhsa.gov/products/manuals/tips/
The Physician Clinical Support System for Primary Care at www.pcssprimarycare.org/
The Physician Clinical Support System for Methadone (PCSS-M) at www.pcssmethadone.org/
Recovery Standards for Behavioral Healthcare at www.ct.gov/dmhas/lib/dmhas/publications/practiceguidelines.pdf
Wellness Recovery Action Plan (WRAP) at http://nrepp.samhsa.gov/ViewIntervention.aspx?id=208
“Whole Health, Wellness and Resiliency Peer Support Training,” Larry Fricks, Deputy Director, SAMHSA/HRSA Center for Integrated Health Services at www.centerforintegratedhealthsolutions.org
TeleBehavioral Health: A Cost-Efficient & Effective Method for Overcoming Access to Care Barriers
Telemedicine Standards & Guidelines at http://www.americantelemed.org/i4a/pages/index.cfm?pageid=3311
Northern Arizona Regional Behavioral Health Authority NARBHAnet Telemedicine Network at http://www.rbha.net/TelepsychiatryBasics.html
Contact Dirk Bokeloh, at dbokeloh@nachc.com for technical assistance and with questions, suggestions or corrections.
RESOURCES:
NACHC 2010 Assessment of Behavioral Health Services in FQHCs - Download
Reimbursement for Behavioral Health - NACHC Report on PPS Payments - Download
3/2/12 eSolutions is a monthly e-newsletter from the SAMHSA-HRSA Center for Integrated Health Solutions bringing you practical solutions and resources on primary and behavioral healthcare integration from across the United States. It is available online, click here.
2/29/12 Useful SBIRT (Screening, Brief Intervention and Referral to Treatment) resources page from the SBIRT Oregon Primary Care Residency Initiative
2/29/12 SAMHSA Document - Guidelines: TIP 53: Addressing Viral Hepatitis in People With Substance Use Disorders
Assists behavioral health professionals who treat people with substance abuse problems in understanding the implications of a diagnosis of hepatitis. Discusses screening, diagnosis, and referrals and explains how to evaluate a program's hepatitis practices. (A 508-compliant version of this document will be available soon.) To order this free document click here.
4/8/11 NIH & ASAM Announce "New warm line to helps clinician tackle patients' substance abuse" to Learn more about the PCSS-P Program Click Here To Read the Press Release Click Here
Core Components of Integrated Care - These are the core components of integrated care that have been identified by successful behavioral health and primary care programs.
NACHC Issue Brief on Behavioral Health Integration and the Behavioral Health Integration Powerpoint are good refrences.
Financing Behavioral Health Services - Now a joint project between NACHC and SAMHSA this map identifes the states that do and do not pay for behavioral health and primary care on the same day. If you have a change that is documented in your state please forward the information to: wreidy@nachc.com .
White Paper on TeleMental Health Resources from the National Council
Privacy, Security, Confidentiality and Sharing Information - SAMHSA and ONC recently (July 2010) published FAQs on 42 CFR and EHRs. SAMHSA also published a Comparison of 42 CFR Part 2 and HIPAA.
Policies and Procedures - Several Health Centers have agreed to share their Behavioral Health Policy and Procedure Manuals. Allen County Health Partners, OH
Motivational Interviewing Manual - SAMHSA
Other Clinical Issues - National Drug Strategy 2010
