However, the cost of behavioral health integration – for example, expenses for EHR systems and hiring of new employees – remains an impediment and barrier for many primary care practices to implement and sustain the model. Enhanced payment rates incentivize practices to implement the CoCM and develop a patient population that will sustain the model.
APA supports bipartisan federal legislation to expand this model throughout the country.
The COMPLETE Care Act (S.1378/H.R.5819) has been introduced by Senators Catherine Cortez-Masto (D-NV) and John Cornyn (R-TX) and Representatives Michelle Steel (R-CA), Dan Kildee (D-MI), Lizzie Fletcher (D-TX), Gus Bilirakis (R-FL) August Pfluger (R-TX), Susie Lee (D-NV) and Marc Molinaro (R-NY) in the Senate and House. The bill incentivizes primary care to adopt behavioral health integration by increasing the Medicare payment for integrated care codes for 3 years. The legislation also facilitates technical assistance to practices implementing the CoCM and establishes quality measurement reporting for behavioral health integration.