Resource Library

A guide to building a clinical team and developing an effective clinical workflow.

Use this questionnaire to help you think about your organization's ability to successfully implement Collaborative Care.

Registry tools that support Collaborative Care vary widely in their sophistication, functionality, cost, and scalability.  

Using a registry tool that tracks clinical outcomes for populations of patients and supports systematic changes in treatment for patients who are not improving as expected is an essential part of successful Collaborative Care programs.

The Care Management Tracking System (CMTS) is a web-based registry that facilitates a shared care plan to collaboratively treat common medical and behavioral health conditions.

The AIMS Center offers a Microsoft Excel®-based patient tracking spreadsheet for providers that takes minimal upfront investment and can support Collaborative Care functions such as patient and caseload progress tracking.

In November 2017, the Centers for Medicare and Medicaid Services (CMS) published final rules that allow Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) to bill for Behavioral Health Integration services, Chronic Care Managerment, and the Collaborative Care Model. 

Please note: This cheat sheet was updated on November 14, 2017 to reflect the publication of the final rules.

After the deaths of her daughter and her husband, Elizabeth struggled with depression for over 20 years but finally found relief.

This two page cheat sheet summarizes the AMA CPT® codes for Behavioral Health Integration services.

Use this template to introduce your Collaborative Care team to patients.