State Toolkit for Integrated Care

• The Advantages of Providing Psychological Services in Primary Care Pediatrics: a two-page handout useful for pediatrician offices or advocacy (PDF)

• Added Value: Psychological Services in Pediatrics: a four-page handout useful for pediatrician referrals or advocacy (PDF) 

• Adding Value in Pediatric Health Care: PowerPoint by Doug Tynan, PhD (PDF, 678KB)

• Behavioral Health Services in Primary Care: a four-page handout from APA describing integrated care and collaborative care models (PDF)

• CPC+ Behavioral Health Menu of Options from CMS (2017) (PDF)

COVID-19 Resources and State Responses

• American Psychological Association COVID-19 resources

• Maintaining integration in a COVID-19 world: blogpost by Paul T. Korte, PhD, April 22, 2020 

• SPTAs responses to the COVID-19 pandemic: blogpost by Kathleen Ashton, PhD, ABPP, June 15, 2020

• Supporting the chronically ill during COVID-19: a call for behavioral health providers by Stella D. Nelms, PhD, Div. 31 Healthcare Reform Blog

• Telehealth guidance by state during COVID-19

Electronic Health Record

• Electronic Health Record Templates
  

State Legislative Language for Integrated Care

• August 21, 2020, Supporting the chronically ill during COVID-19: a call for behavioral health providers By Stella D. Nelms, PhD, Division 31 Healthcare Reform Blog

• APA Division 31 Best Practices for States: Integrated Care and Psychology Advocacy: describes integrated care victories and strategies for state psychological associations

• Missouri: Legislative Language Supporting Use of Health and Behavior Codes for State Medicaid Patients: 208.152 subsection 14:  
  Beginning July 1, 2016, and subject to appropriations, providers of behavioral, social and psychophysiological services for the prevention, treatment or management of physical health problems shall be reimbursed utilizing the behavior assessment and intervention reimbursement codes 96150 to 96154 or their successor codes under the Current Procedural Terminology (CPT) coding system. Providers eligible for such reimbursement shall include psychologists. Missouri H & B Code language

• Delaware has a current bill to implement annual mental health wellness visits.

• Health and Behavior CPT Codes: A Model of Legislative Advocacy: PowerPoint by Paul Korte, PhD, 2019 (PDF, 56KB)

• Minnesota: Extending collaborative care codes to psychologists 

• Minnesota: Overview of a State Statute That Extends the Collaborative Care Codes Beyond MDs and Prescribing APPs to Include Psychologists, LICSWs, LMFTs as well 

• Minnesota legislative language on collaborative care codes including psychologists 
  Subd. 48. Psychiatric consultation to primary care practitioners. Medical assistance covers consultation provided by a psychiatrist, a psychologist, an advanced practice registered nurse certified in psychiatric mental health, a licensed independent clinical social worker, as defined in section 245.462, subdivision 18, clause (2), or a licensed marriage and family therapist, as defined in section 245.462, subdivision 18, clause (5), via telephone, e-mail, facsimile, or other means of communication to primary care practitioners, including pediatricians. The need for consultation and the receipt of the consultation must be documented in the patient record maintained by the primary care practitioner. If the patient consents, and subject to federal limitations and data privacy provisions, the consultation may be provided without the patient present.

• Brief diagnostic assessment from Minnesota statute

• Brief Diagnostic Assessment-DHS manual
  The Minnesota Psychological Association to change the requirements for a diagnostic assessment (90791). The Minn. state law was changed to reduce the requirements for a “brief” diagnostic assessment in order to be more applicable to primary care. The “brief” is now much briefer and able to be completed in a 30-minute PCBH visit. 

• Oregon: Comprehensive Integrated Care Legislation/Behavioral Health Home Senate Bill 832

• Vermont: state blueprint for integrated care

• Integrated care model in Vermont

• OneCare Vermont selected for national multisite demonstration for advancing integrated care models for people with complex needs. Newspaper article describing integrated care model in Vermont

• Statewide Approach to Behavioral Health Integration—Delaware's Perspective: Powerpoint by Traci Bolander PsyD 2019 (PDF, 701KB)

• Medicaid Workshop Convention 2019 (PDF, 740KB) 
  Innovative pilot project launched in 2018 by APA and the D.C. Psychological Association. Placed supervised psychology trainees in two primary care offices serving the D.C. Medicaid population (Summer 2018). Supervised services provided by interns and a postdoctoral fellow were reimbursed by a Medicaid managed care organization (MMCO). 

Resources for graduate students and early career psychologists

• The Society for Health Psychology is pleased to offer an introductory primary care psychology curriculum for use in educating psychology graduate students, interns and postdoctoral fellows. The course is free for use by training programs. 

• Developing a Competent Integrated Care Workforce. Training Partnerships in Oregon: PowerPoint by Roseann Fish Getchell, PsyD (PDF, 1.2MB)

• Securing a Job in Integrated Primary Care: Tips, Tricks, and Other Helpful Info (PDF, 410KB)

Resources for post graduate training in integrated care/mid-career psychologists

• APA’s Pain Management and Opioid Crisis Initiative By Kathleen Ashton, PhD, ABPP 

• Progress Notes Podcast: Integrated Care: Benefits for Patients and Practitioners. Psychologists immersed in integrated health care describe the benefits and challenges to seeing patients in a primary care setting

• OPA / APA Ohio Summit on Psychological Pain Management Services—CE Event

• University of Massachusetts Center for Integrated Primary Care. Offers online training and certificate in primary care behavioral health

• Cherokee Health Integrated Care Training Academy. Offers six trainings per year on integrated care model in Knoxville, Tennessee

• Introduction to Integrated Primary Care CE Course

• SAMHSA Center for Integrated Health Solutions

• Farleigh Dickinson certificate program for integrated primary care (PDF)

Links to telehealth trainings

• Webinar—Telehealth Competencies for Psychologists Practicing in Ohio

• Use of email and texting with clients webinar

• Telebehavioral Health Institute. Offers Basic, Level 1 Certificate, and Level 2 Certificate in telebehavioral health practice

Health and behavior codes

• Health Behavior Codes 2020: Coming to an Integrated Care Practice Near You! by Katie Jones and Katleen Ashton

• Health and Behavior Assessment and Intervention CPT Codes Crosswalk (PDF)

• 2020 Health Behavior Assessment and Intervention Services CPT Code Descriptions (PDF)

• 2020 Health Behavior Assessment and Intervention Services Proposed Relative Value Units (RVU) (PDF)

• Health Behavior Assessment and Intervention Website

• Mini Webinars on using 2020 HB Codes

• States that Accept Medicaid for H & B Codes (2017)

• The A to Z of Health and Behavior Codes by Katie Jones

Productivity standards for integrated care psychologists working in systems

• Psychological Services Mental Health Productivity Monitoring in the Veterans Health Administration: Challenges and Lessons Learned, Lisa K. Kearney, Clifford Smith, Daniel R. Kivlahan, Robert C. Gresen, Eileen Moran, Mary Schohn, Jodie Trafton and Antonette M. Zeiss

• Integrated Care: Ethics for Psychologists in Hospital Settings: blogpost by Kathleen Ashton, PhD, Div. 31 Healthcare Reform Blog

• Summary of Considerations for APA Ethical Standards Revision by Integrated Care Ethics Workgroup 2019 (PDF)

• Ethics and confidentiality for psychologists in academic health centers (Ashton & Sullivan 2018) 

• Special ethical considerations for behavioral health consultants in the primary care setting. (Fivecoat eet al 2017) 

• Patient and provider relationships: Consent, confidentiality, and managing mistakes in integrated primary care settings. (Hodgson et al., 2013)

• Ethical challenges unique to the primary care behavioral health model (PCBH). Runyan et al., 2018)

• Navigating the legal and ethical foundations of informed consent and confidentiality in integrated primary care. (Hudgins 2013) 

• Ethical matters in rural integrated primary care settings. (Mullin & Stenger 2013) 

• American Psychological Association Ethics Code 

• APA Policy on Integrated Care 2016 

• APASI Policy on Integrated Care 2019 (includes pocketbook issues/payment) (PDF)

• Blog post on Integrated Care Policy by Kathleen Ashton June 2019

• Integrated Care Policy by Kathleen Ashton June 2019, Div. 31 Healthcare Reform Blog

• VA Psychologist Experience in Integrated Care: blog post by Paul Korte, PhD, 2019

• Behavioral Health Consultation vs. Traditional Psychotherapy: What's the Difference?: blog post by Natalie Pileplenko, PhD

• Blog post: Professional Etiquette for the Integrated Care Psychologist by Kathleen Ashton, PhD

• Supervision in Integrated care: blog post, Kathleen Ashton, PhD (PDF, 68KB)

• Integrated Care Lessons for Those Starting Out: blog post by Kathleen Ashton, PhD (PDF, 94KB)

• Top 10 Ways the Integrated Care Psychologist Can Combat Provider Burnout: blog post by Kathleen Ashton, PhD

• Integrated Care and Social Media: blog post by Kathleen Ashton, PhD

• How to Take a Vacation as an Integrated Care Psychologist: blog post by Kathleen Ashton, PhD (PDF, 104KB)

• Work Life Balance in Integrated Care: blog post by Kathleen Ashton, PhD (PDF, 142KB)

• Incorporating Work Life Balance Into the Workplace: blog post by Kathleen Ashton, PhD (PDF, 139KB)

• Advantage and Challenges of Working in Institutions (such as hospital setting): blog post by Kathleen Ashton, PhD (PDF, 27KB)

• Integrated Care Resources and Videos from APA Practice

• The titles we use in integrated care by W. Douglas Tynan PhD, ABPP, Div. 31 Healthcare Reform Blog