We at Division 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
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Outcome Measurement and Demonstrating Value
Specific State Legislative Language and Strategies
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 visitsopens in new window.
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Minnesota: Extending collaborative care codes to psychologistsopens in new window
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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 from Minnesota statuteopens in new window
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Brief Diagnostic Assessment-DHS manualopens in new window
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. -
Vermont: state blueprint for integrated careopens in new window
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Medicaid Workshop Convention 2019 (PDF, 740KB)opens in new window
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).
Workforce Development
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 fellowsopens in new window. The course is free for use by training programs.
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 Servicesopens in new window—opens in new windowCE Event
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Introduction to Integrated Primary Care CE Courseopens in new window
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SAMHSA Center for Integrated Health Solutionsopens in new window
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Farleigh Dickinson certificate program for integrated primary care (PDF)opens in new window
Links to telehealth trainings
Getting Paid: Insurance Advocacy, CPT, RVUs
Health and behavior codes
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Health and Behavior Assessment and Intervention CPT Codes Crosswalk (PDF)opens in new window
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Health Behavior Assessment and Intervention Websiteopens in new window
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The A to Z of Health and Behavior Codes by Katie Jonesopens in new window
Productivity standards for integrated care psychologists working in systems
Reimbursement
Innovative practice models—enhanced co-location
Ethics and Integrated Care
Integrated Care Policies
Practical Tools (Brief Blog Posts and Videos)
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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)opens in new window
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Integrated Care and Social Media: blog post by Kathleen Ashton, PhD
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The titles we use in integrated care by W. Douglas Tynan PhD, ABPP, Div. 31 Healthcare Reform Blog
Last updated: March 2021Date created: 2020