We at Div. 31 understand that innovative integrated care work goes on at the state level, but often this work is unknown outside of the state. Instead of reinventing the wheel, we invite states to take advantage of these resources as part of our Division 31 State Toolkit for Integrated Care. This toolkit serves as a resource to members seeking to develop integrated care practices in their state. It will be updated on a semiannual basis.
State Toolkit for Integrated Care

COVID-19 Resources and State Responses
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Maintaining integration in a COVID-19 world: blogpost by Paul T. Korte, PhD, April 22, 2020
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SPTAs responses to the COVID-19 pandemic: blogpost by Kathleen Ashton, PhD, ABPP, June 15, 2020
Electronic Health Record
State Legislative Language for Integrated Care
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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.
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Minnesota: Extending collaborative care codes to psychologists
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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-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
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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
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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.
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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
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APA’s Pain Management and Opioid Crisis Initiative By Kathleen Ashton, PhD, ABPP
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OPA / APA Ohio Summit on Psychological Pain Management Services—CE Event
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Farleigh Dickinson certificate program for integrated primary care (PDF)
Links to telehealth trainings
Health and behavior codes
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Health and Behavior Assessment and Intervention CPT Codes Crosswalk (PDF)
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2020 Health Behavior Assessment and Intervention Services CPT Code Descriptions (PDF)
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2020 Health Behavior Assessment and Intervention Services Proposed Relative Value Units (RVU) (PDF)
Productivity standards for integrated care psychologists working in systems
Reimbursement
Innovative practice models—enhanced co-location
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VA Psychologist Experience in Integrated Care: blog post by Paul Korte, PhD, 2019
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Blog post: Professional Etiquette for the Integrated Care Psychologist by Kathleen Ashton, PhD
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Supervision in Integrated care: blog post, Kathleen Ashton, PhD (PDF, 68KB)
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Integrated Care Lessons for Those Starting Out: blog post by Kathleen Ashton, PhD (PDF, 94KB)
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Integrated Care and Social Media: blog post by Kathleen Ashton, PhD
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Work Life Balance in Integrated Care: blog post by Kathleen Ashton, PhD (PDF, 142KB)
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Incorporating Work Life Balance Into the Workplace: blog post by Kathleen Ashton, PhD (PDF, 139KB)
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The titles we use in integrated care by W. Douglas Tynan PhD, ABPP, Div. 31 Healthcare Reform Blog