Behavioral Health

The Center for Medicare & Medicaid Innovation (CMS Innovation Center) recently announced a new state-based model, Innovation in Behavioral Health (IBH), to test approaches for addressing behavioral and physical health, as well as health-related social needs among the Medicaid and Medicare populations. The IBH Model’s goal is to improve the overall quality of care and outcomes for adults with mental health conditions and/or substance use disorder by connecting them with the physical, behavioral, and social supports needed to manage their care. The model will also promote health information technology capacity building through infrastructure payments and other activities...

The AHRQ Academy has released a new guide on health equity and behavioral health integration designed to help practices reduce health disparities and advance health equity by promoting belonging, dignity and justice for providers and patients from marginalized groups. The AHRQ Academy aims to support the integration of behavioral health into primary and ambulatory care settings with a focus on providing care for patients using substances, particularly opioids, and for those with mental health conditions. This guide provides tools and resources for addressing economic and social inequities, bias, discrimination and racism.

This report examines how health plans can partner to promote successful integration of care for enrollees with behavioral health conditions. As part of this report, CHCS interviewed leaders of organizations that are partnering to integrate care.. The report analyzes findings from Colorado, Oregon, Arizona, And Arkansas and highlights key elements that contribute to successful partnerships between physical and behavioral health organizations.

This case study examines the benefits of coordinating care for dually eligible members with serious mental illness. It looks specifically at how one Pennsylvania plan used a robust care coordination and member engagement model to successfully reduce urgent and unplanned inpatient admissions; and optimize health outcomes, quality of life, and self-management skills for individuals with serious mental illness.

"This document provides guidance to CCBHCs on how to use the Certified Community Behavioral Health Clinic (CCBHC) cost report for the two Certified Clinic Prospective Payment System (CCPPS) rate methodologies—CC PPS-1 and CC PPS-2. The cost report may be used to determine the clinic-specific PPS rate and to annually report demonstration costs. These payment rates were provided through the Demonstration Program to Improve Community Mental Health Services."