Collaborative Care Model (CoCM) in Texas Medicaid Billing Case Study Videos

Date: September 27, 2023

Attention: Providers of CoCM Services

Date training videos are available: September 11, 2023

Background information: Texas Medicaid implemented a medical benefit for the CoCM on June 1, 2022, as directed by Senate Bill 672, 87th Legislature, Regular Session, 2021. Prior to the implementation of the benefit, HHSC conducted two trainings on CoCM services for MCOs in May of 2022.

Call to action: To assist providers with billing and reimbursement of CoCM services, HHSC has developed a billing case study video series that is available on the Texas Medicaid & Healthcare Partnership (TMHP) YouTube channel and on TMHP’s Learning Management System (LMS). The case study describes how various combinations of billing codes can be used for an individual who is undergoing treatment for depression in the CoCM over the course of five calendar months. This video series has been adapted from works created by the University of Washington Advancing Integrated Mental Health Solutions (AIMS) Center.

Training Access: Users must have a username and password to access trainings in the LMS. To obtain a username and password, providers must create an account by clicking the Don’t have an account? Sign up here link on the LMS home page. For more information, call the TMHP Contact Center at 800-925-9126. For LMS access issues, email TMHP LMS support at TMHPTrainingSupport@tmhp.com.

Resources:

• Information about the CoCM benefit is published in Section 9.3 of the Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook (Vol. 2, Provider Handbooks) in the TMPPM.  
• For more information on the CoCM to include evidence base, core principles and team structure, refer to Advancing Integrated Mental Health Solutions (AIMS) Center, University of Washington, Psychiatry and Behavioral Sciences Division of Population Health.
• The TMHP provider notification is published on the TMHP website at Collaborative Care Model (CoCM) Billing Case Study Videos .s

If you have any questions, please email Provider Relations at: providerrelations@texaschildrens.org.

For access to all provider alerts,log into:
www.thecheckup.org or www.texaschildrenshealthplan.org/for-providers.