States across the country are seeking evidence-based approaches to improve the health care of high-need, high-cost Medicaid populations. Strategies to improve the integration of physical and behavioral health services are essential for these beneficiaries with complex needs as are innovative payment models to cover the costs of care.
The collaborative care model offers one approach to integration in which primary care providers, care managers, and psychiatric consultants work together to provide care and monitor patients’ progress. Programs using this model have achieved improved clinical outcomes and reduced costs for a variety of mental health conditions, in a variety of settings, using several different payment mechanisms. This brief, developed by the Center for Health Care Strategies (CHCS) for the Centers for Medicare & Medicaid Services’ Health Home Information Resource Center, details the collaborative care model as an option for implementing integrated care under Medicaid health homes made possible through the Affordable Care Act (Section 2703). It was written by Dr. Jürgen Unützer of the University of Washington in collaboration with experts across the country.
This brief is a product of the Health Home Information Resource Center, which was created by the Centers for Medicare & Medicaid Services to help states develop new models of care that coordinate the full range of medical, behavioral health, and long-term services and supports needed by Medicaid beneficiaries with chronic health needs. The Health Home Information Resource Center is coordinated by Mathematica Policy Research and the Center for Health Care Strategies.
States can access one-on-one technical assistance to develop and implement Medicaid health homes from the Health Home Information Resource Center using this link.