December 21, 2022
What’s New
Beginning January 1, 2023, providers of Collaborative Care Model (CoCM) services in fee-for-service (FFS) Medicaid must complete an attestation form at the start of every new episode of care for each person receiving CoCM services to ensure adherence to the CoCM core principles and the specific functional requirements of the model, as described in the Collaborative Care Model (CoCM) benefit in the Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook (Vol. 2, Provider Handbooks) in the Texas Medicaid Provider Procedures Manual (TMPPM). The five CoCM core principles are:
- Patient-centered team care
- Population-based care
- Measurement-based treatment to target
- Evidence-based care
- Accountable care
The Attestation Form for Collaborative Care Model (CoCM) in Texas Medicaid is located on the Blue Cross and Blue Shield of Texas (BCBSTX) Medicaid website.
Additional Information
Information about the benefit will be published in the Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook (Vol. 2, Provider Handbooks) in the Texas Medicaid Provider Procedure Manual.
Resources
For more information on registry requirements, refer to Advancing Integrated Mental Health Solutions (AIMS) Center, University of Washington, Psychiatry and Behavioral Sciences Division of Population Health.
For more information on payment for CoCM in primary care, refer to the American Medical Association’s webinar titled "Experts on practical billing strategies for the collaborative care model”.
Questions
For questions or additional information, please:
- Contact your BCBSTX Medicaid Network team at 1-855-212-1615, or
- Submit via email to Texas Medicaid Network Department
The above material is for informational purposes only and is not a substitute for the independent medical judgment of a physician or other health care provider. Physicians and other health care providers are encouraged to use their own medical judgment based upon all available information and the condition of the patient in determining the appropriate course of treatment. References to other third-party sources or organizations are not a representation, warranty or endorsement of such organization. Any questions regarding those organizations should be addressed to them directly. The fact that a service or treatment is described in this material is not a guarantee that the service or treatment is a covered benefit and members should refer to their certificate of coverage for more details, including benefits, limitations and exclusions. Regardless of benefits, the final decision about any service or treatment is between the member and their health care provider