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Abstract

Effective October 2018, North Carolina Medicaid approved reimbursement for collaborative care model (CoCM) billing codes. From October 2018 through December 2019, only 915 of the estimated two million eligible Medicaid beneficiaries had at least one CoCM claim, and the median number of claims per patient was two. Availability of reimbursement for CoCM Medicaid billing codes in North Carolina did not immediately result in robust utilization of CoCM. Furthermore, the low median number of claims per patient suggests lack of fidelity to CoCM. A better understanding of barriers to CoCM implementation is necessary to expand utilization of this evidence-based model.

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Information

Published In

Go to Psychiatric Services
Go to Psychiatric Services
Psychiatric Services
Pages: 1420 - 1423
PubMed: 35734864

History

Received: 14 January 2022
Revision received: 2 April 2022
Accepted: 8 April 2022
Published online: 23 June 2022
Published in print: December 01, 2022

Keywords

  1. Public health
  2. Quality improvement
  3. Research/service delivery

Authors

Details

J. Nathan Copeland, M.D. [email protected]
Department of Psychiatry and Behavioral Sciences (Copeland, Maslow, French, Davis, Heilbron, Pullen) and Department of Population Health Sciences (Jones, Greiner), Duke University School of Medicine, Durham, North Carolina.
Kelley Jones, Ph.D.
Department of Psychiatry and Behavioral Sciences (Copeland, Maslow, French, Davis, Heilbron, Pullen) and Department of Population Health Sciences (Jones, Greiner), Duke University School of Medicine, Durham, North Carolina.
Gary R. Maslow, M.D.
Department of Psychiatry and Behavioral Sciences (Copeland, Maslow, French, Davis, Heilbron, Pullen) and Department of Population Health Sciences (Jones, Greiner), Duke University School of Medicine, Durham, North Carolina.
Alexis French, Ph.D.
Department of Psychiatry and Behavioral Sciences (Copeland, Maslow, French, Davis, Heilbron, Pullen) and Department of Population Health Sciences (Jones, Greiner), Duke University School of Medicine, Durham, North Carolina.
Naomi Davis, Ph.D.
Department of Psychiatry and Behavioral Sciences (Copeland, Maslow, French, Davis, Heilbron, Pullen) and Department of Population Health Sciences (Jones, Greiner), Duke University School of Medicine, Durham, North Carolina.
Melissa A. Greiner, M.S.
Department of Psychiatry and Behavioral Sciences (Copeland, Maslow, French, Davis, Heilbron, Pullen) and Department of Population Health Sciences (Jones, Greiner), Duke University School of Medicine, Durham, North Carolina.
Nicole Heilbron, Ph.D.
Department of Psychiatry and Behavioral Sciences (Copeland, Maslow, French, Davis, Heilbron, Pullen) and Department of Population Health Sciences (Jones, Greiner), Duke University School of Medicine, Durham, North Carolina.
Samuel J. Pullen, M.D.
Department of Psychiatry and Behavioral Sciences (Copeland, Maslow, French, Davis, Heilbron, Pullen) and Department of Population Health Sciences (Jones, Greiner), Duke University School of Medicine, Durham, North Carolina.

Notes

Send correspondence to Dr. Copeland ([email protected]). Benjamin G. Druss, M.D., M.P.H., and Gail Daumit, M.D., M.H.S., are editors of this column.

Funding Information

Dr. Maslow has received research funding from Pfizer and program funding from The Arc of North Carolina. Dr. Davis has received research support from Akili Interactive Labs. The other authors report no financial relationships with commercial interests.

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