INSIGHTS

The Rise of Collaborative Care Coverage: Why Now Is the Time to Implement with a Turnkey Provider

Healthcare in the United States is changing fast, especially in the way mental health services are delivered. As demand for mental health support grows across all populations, the Collaborative Care Model (CoCM) has emerged as a proven way to integrate mental health into primary care. With continuing expansions in coverage by Medicare, Medicaid, and commercial insurers, implementing CoCM is now more accessible (and financially feasible) than ever.
November 25, 2025

For clinics eager to offer Collaborative Care (CoCM) but lacking the resources to set it up independently, turnkey providers like April Health provide a practical solution. Here’s why now is the perfect time to launch CoCM in your practice.

Collaborative Care Coverage Is Expanding

Medicare and Medicaid
Medicare and Medicaid have broadened their support for CoCM, recognizing its ability to improve mental health outcomes while reducing healthcare costs. CMS now reimburses specific CoCM services, including patient assessments, treatment planning, care management, and psychiatric consultations. These payments compensate primary care providers for coordinating care, making CoCM financially sustainable.

Many states are also expanding CoCM coverage through Medicaid programs. This allows more low-income patients to access integrated mental health care in primary care settings, helping address disparities in mental health treatment.

Commercial Insurers
Commercial insurers, including UnitedHealthcare, Aetna, Cigna, and many Blue Cross Blue Shield plans, are expanding coverage for Collaborative Care. More private payers are covering CoCM, making it easier for clinics to integrate mental health support into their practices without taking on all the costs themselves. This growing trend ensures that clinics across the country can implement Collaborative Care while receiving consistent reimbursement, creating a win-win for patients and providers alike.

Why Turnkey Providers Like April Health Make CoCM Work

Expanded coverage is important, but implementing CoCM on your own can be complex. It requires trained staff, structured workflows, technology for tracking outcomes, and seamless communication across care teams. This is where April Health can help.

April Health offers a full-service CoCM solution, letting clinics implement collaborative care without hiring new staff or building infrastructure from scratch. Here’s how they make it easy:

1. Access to Qualified Mental Health Specialists
April Health connects clinics to behavioral care managers and licensed psychiatrists, trained in the CoCM framework. Patients also benefit from the Wysa self-help app to follow recommended CBT techniques and structured routines, regardless of insurance eligibility. Behavioral care managers use Wysa Copilot to push tools and activities and monitor progress between calls. This setup allows clinics to deliver high-quality care without hiring specialists directly, saving time and resources.

2. Simplified Billing and Compliance
Navigating billing codes and documentation for CoCM can be challenging. April Health manages much of this complexity, helping clinics bill accurately to Medicare, Medicaid, and commercial insurers, so providers can focus on patients.

3. Efficient Care Coordination
Care managers oversee patient progress, track treatment plans, and follow up with patients, ensuring continuity of care. This support improves patient adherence and engagement without adding extra staff responsibilities.

4. Telehealth and Remote Services
April Health delivers services remotely via phone or video visits, expanding access to patients in rural or underserved areas. Remote care makes Collaborative Care scalable and convenient, reducing barriers and supporting timely, consistent treatment.

5. Data-Driven, Scalable Solutions
Advanced technology tracks patient outcomes and provides reports that help clinics demonstrate the impact of CoCM. This aligns with payer expectations and supports ongoing reimbursement.

Why Now Is the Time to Act

Mental health needs are at an all-time high, and coverage for CoCM is expanding rapidly. Partnering with April Health allows clinics to take advantage of this opportunity without the traditional challenges of implementing CoCM.

Benefits of acting now include:

  • Maximizing reimbursement: Expand revenue while delivering critical mental health services.
  • Meeting patient demand: Provide integrated mental health support within primary care.
  • Positioning for the future: Early adoption of collaborative care, positions clinics for long-term success in an increasingly integrated healthcare system.

The expansion of CoCM coverage marks a major step forward in addressing mental health needs nationwide. Implementing it independently can be challenging, but with April Health, clinics gain a turnkey solution that is clinically sound, operationally simple, and financially sustainable.

Partnering with April Health lets clinics integrate collaborative care seamlessly, support patients effectively, and take full advantage of reimbursement opportunities. Now is the time to embrace CoCM and position your practice for the future of integrated care.

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