{"id":2309,"date":"2017-10-30T15:00:27","date_gmt":"2017-10-30T21:00:27","guid":{"rendered":"https:\/\/dsiohn098w.mpqhf.org\/blog\/?p=2309"},"modified":"2017-10-31T10:10:44","modified_gmt":"2017-10-31T16:10:44","slug":"providing-care-management-mental-illnesses","status":"publish","type":"post","link":"https:\/\/dsiohn098w.mpqhf.org\/blog\/providing-care-management-mental-illnesses\/","title":{"rendered":"Providing Care Management for Mental Illnesses"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/dsiohn098w.mpqhf.org\/blog\/wp-content\/uploads\/2017\/10\/10.27.2017-Behavioral-Health-Integration.png\" alt=\"\" width=\"1200\" height=\"300\" class=\"alignnone size-full wp-image-2310\" srcset=\"https:\/\/dsiohn098w.mpqhf.org\/blog\/wp-content\/uploads\/2017\/10\/10.27.2017-Behavioral-Health-Integration.png 1200w, https:\/\/dsiohn098w.mpqhf.org\/blog\/wp-content\/uploads\/2017\/10\/10.27.2017-Behavioral-Health-Integration-300x75.png 300w, https:\/\/dsiohn098w.mpqhf.org\/blog\/wp-content\/uploads\/2017\/10\/10.27.2017-Behavioral-Health-Integration-768x192.png 768w, https:\/\/dsiohn098w.mpqhf.org\/blog\/wp-content\/uploads\/2017\/10\/10.27.2017-Behavioral-Health-Integration-1024x256.png 1024w\" sizes=\"(max-width: 1200px) 100vw, 1200px\" \/><\/p>\n<h1>Providing Care Management for Mental Illnesses <\/h1>\n<h5>October 27, 2017<\/h5>\n<h6>Written by Kristen Schuster, Practice Facilitator<\/h6>\n<p>The first year of CPC+ is quickly coming to an end and it is a good time to take a pulse check!  Track 2 practices are required to choose a behavioral health integration (BHI) option and need to start implementing this service in to its care.  Remember Track 1 practices, you are not off the hook. Program Year 2 changes were outlined in the 10\/20 blog and now Track 1 practices need to choose a BHI model and begin implementation for 2018.<\/p>\n<p>There are two different tracks a practice can choose for BHI. This blog is going to outline the care management for mental illnesses model and will also include information on how to bill for behavioral health services. Don\u2019t worry, next week will have the details on the primary care behaviorist model.<\/p>\n<p>The care management approach to BHI identifies patients with a mental health condition that would benefit from proactive, relationship-based <strong>care management (CM)<\/strong>, with specific attention to care management of the mental health condition (e.g., Major Depressive Disorder\/Dysthymia, Generalized Anxiety Disorder, and Panic Disorder). The care management model will utilize a care team member that has had additional education in behavioral health but does not need to have behavioral health credentials (ex. licensed clinical social worker, psychologist, etc.)<\/p>\n<p><strong>Steps for Implementation<\/strong><\/p>\n<ul>\n<li>Identify a team member (RN, LPN, etc.)<\/li>\n<li>Supply additional training as needed (education links are listed below)<\/li>\n<li>Select a health condition(s) to prioritize patients in need<\/li>\n<li>Choose a standardized screening tool and develop a workflow for communicating the results to other care team members<\/li>\n<li>Identify or develop stepped care, evidence-based, treatment algorithms for mental health condition(s) identified for care management, incorporating principles of shared decision making and self-management support<\/li>\n<ul>\n<li>Example: A patient that scores a 10-14 on the PHQ-9 will receive a basic assessment, self-management support, an action plan and a follow-up plan<\/li>\n<\/ul>\n<li>Identify a behavioral health professional within the care community to aid the care manager in decision making for complex cases<\/li>\n<li>Establish a plan for patients needing additional treatment and support<\/li>\n<ul>\n<li>Example: A referral to a psychologist for a patient needing support with addiction<\/li>\n<\/ul>\n<\/ul>\n<p><strong>Remember:<\/strong> CMS does not require a specific training or license for the care manager. Choose a care team member that has an interest in behavioral health and is willing to get additional training.<\/p>\n<p><strong>Billing for Care Managers<\/strong><\/p>\n<p>The following payment structure may be used for patients with any behavioral health condition that is being treated by the treating provider, including substance use disorders. <\/p>\n<ul>\n<li><strong>G0502<\/strong> \u2013 First 70 minutes in the first calendar month for behavioral health care manager activities, in consultation with a psychiatric consultant and directed by the treating provider.<\/li>\n<ul>\n<li>$142.84<\/li>\n<\/ul>\n<li><strong>G0503<\/strong> \u2013 First 60 minutes in a subsequent month of behavioral health care manager activities.<\/li>\n<ul>\n<li>$126.33<\/li>\n<\/ul>\n<li><strong>G0504<\/strong> \u2013 Each additional 30 minutes in a calendar month of behavioral health care manager activities listed above.<\/li>\n<ul>\n<li>$66.04<\/li>\n<\/ul>\n<li><strong>G0505<\/strong> \u2013 Assessment and care planning for patients with a cognitive impairment.<\/li>\n<ul>\n<li>$238.30<\/li>\n<\/ul>\n<\/ul>\n<p>Please review the cheat sheets below for billing requirements for these codes.  <strong>Remember:<\/strong> Practices still are not able to bill <strong>G0506<\/strong> and <strong>G0507<\/strong>.<\/p>\n<p>If your organization has not chosen a BHI model the recordings for the BHI action groups are available on CPS+ Connect. Also, stay tuned for the Mountain-Pacific Blog next week to outline the Primary Care Behaviorist Model. Don\u2019t forget about the On the Plus Side, a weekly newsletter, emailed to all subscribers that lists upcoming educational events, CPC+ tasks and links to CMS resources. As always, complete CPC+ information from CMS can be found on the CPC+ Connect Portal. We encourage you to access the portal and check out all available CMS CPC+ resources. <\/p>\n<p>If you have any questions, or run into issues with any of the CPC+ objectives and would like help please use the \u201cLeave a Reply\u201d section below, or email <a href=\"mailto:kschuster@mpqhf.org?subject=CPC+%20Assistance\" target=\"_blank\">Kristen Schuster<\/a> directly with your questions or comments.<\/p>\n<p><strong>Other Resource Links<\/strong><\/p>\n<p><a href=\"http:\/\/www.mpqhf.org\/corporate\/health-and-technology-services\/resources\/cpc-resources\/\" rel=\"noopener\" target=\"_blank\">Other Resource Links<\/a><br \/>\n<a href=\"https:\/\/aims.uw.edu\/\" rel=\"noopener\" target=\"_blank\">Aims Care Manager Training<\/a><br \/>\n<a href=\"https:\/\/aims.uw.edu\/sites\/default\/files\/CMS_FinalRule_2017_CheatSheet_0.pdf\" rel=\"noopener\" target=\"_blank\">Cheat Sheet for BHI Billing<\/a><br \/>\n<a href=\"https:\/\/www.alz.org\/careplanning\/downloads\/cms-consensus.pdf\" rel=\"noopener\" target=\"_blank\">G0505 Billing<\/a><br \/>\n<a href=\"https:\/\/dsiohn098w.mpqhf.org\/blog\/wp-content\/uploads\/2017\/10\/BHI-Care-management-worksheet.pdf\" rel=\"noopener\" target=\"_blank\">BHI Care Management Worksheet<\/a><br \/>\n<a href=\"https:\/\/dsiohn098w.mpqhf.org\/blog\/wp-content\/uploads\/2017\/10\/BHI-menu-of-options.pdf\" rel=\"noopener\" target=\"_blank\">BHI Menu of Options<\/a><br \/>\n<a href=\"https:\/\/dsiohn098w.mpqhf.org\/blog\/comprehensive-primary-care-plus-cpc-blog\/\">See all CPC+ Blog Posts<\/a><\/p>\n<hr \/>\n<p>&nbsp;<\/p>\n<p><strong>Subscribe to the HTS CPC+ Blog<\/strong><br \/>\n<a href=\"http:\/\/eepurl.com\/cH6b4n\" class=\"su-button su-button-style-flat\" style=\"color:#ffffff;background-color:#385173;border-color:#2d415c;border-radius:5px\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"color:#ffffff;padding:0px 30px;font-size:22px;line-height:44px;border-color:#74869d;border-radius:5px;text-shadow:0px 0px 0px #f4f4f4\"> Subscribe<\/span><\/a>\n<p>&nbsp;<\/p>\n<hr \/>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/www.mpqhf.org\/corporate\/wp-content\/uploads\/2017\/02\/Untitled-3-300x95.png\" alt=\"\" width=\"300\" height=\"95\" class=\"alignnone size-medium wp-image-3035\" \/><\/p>\n<div id=\"boxzero\">\n<section id=\"boxone\">\n<p id=\"boxparagraph\"><strong>See a list of upcoming webinars<\/strong><\/p>\n<p><a href=\"http:\/\/www.mpqhf.org\/corporate\/health-and-technology-services\/webinars-and-events\/upcoming-webinars\/\"><span class=\"link-spanner\">See a list of upcoming webinars<\/span><\/a><\/p>\n<\/section>\n<section id=\"boxtwo\">\n<p id=\"boxparagraph\"><strong>Check out any webinars you missed<\/strong><\/p>\n<p><a href=\"http:\/\/www.mpqhf.org\/corporate\/health-and-technology-services\/webinars-and-events\/webinar-materials\/\"><span class=\"link-spanner\">Check out any webinars you missed<\/span><\/a><\/p>\n<\/section>\n<aside id=\"boxthree\">\n<p id=\"boxparagraph\"><strong>See our CPC+ resources<\/strong><\/p>\n<p><a href=\"http:\/\/www.mpqhf.org\/corporate\/health-and-technology-services\/resources\/cpc-resources\/\"><span class=\"link-spanner\">See our CPC+ resources<\/span><\/a><\/p>\n<\/aside>\n<\/div>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Providing Care Management for Mental Illnesses October 27, 2017 Written by Kristen Schuster, Practice Facilitator The first year of CPC+ is quickly coming to an end and it is a good time to take a pulse check! Track 2 practices are required to choose a behavioral health integration (BHI) option and need to start implementing [&hellip;]<\/p>\n","protected":false},"author":13,"featured_media":1738,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"categories":[135],"tags":[],"class_list":{"0":"post-2309","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-cpc","8":"entry"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Providing Care Management for Mental Illnesses - Mountain Pacific Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/dsiohn098w.mpqhf.org\/blog\/providing-care-management-mental-illnesses\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Providing Care Management for Mental Illnesses - Mountain Pacific Blog\" \/>\n<meta property=\"og:description\" content=\"Providing Care Management for Mental Illnesses October 27, 2017 Written by Kristen Schuster, Practice Facilitator The first year of CPC+ is quickly coming to an end and it is a good time to take a pulse check! 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