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Medicare and Medicaid
Medicare and Medicaid have broadened their support for CCM, recognizing its ability to improve mental health outcomes while reducing healthcare costs. CMS now reimburses specific CCM services, including patient assessments, treatment planning, care management, and psychiatric consultations. These payments compensate primary care providers for coordinating care, making CCM financially sustainable.
Many states are also expanding CCM 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 are following suit. More private payers are covering CCM, 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 CCM while receiving consistent reimbursement, creating a win-win for patients and providers alike.
Expanded coverage is important, but implementing CCM 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 CCM 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 licensed psychiatrists, psychologists, and care managers trained in the CCM framework. Clinics can provide high-quality care without hiring or contracting specialists directly, saving time and resources.
2. Simplified Billing and Compliance
Navigating billing codes and documentation for CCM 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 offers telepsychiatry and teletherapy, expanding access to patients in rural or underserved areas. Telehealth makes CCM scalable and convenient, reducing barriers to care.
5. Data-Driven, Scalable Solutions
Advanced technology tracks patient outcomes and provides reports that help clinics demonstrate the impact of CCM. This aligns with payer expectations and supports ongoing reimbursement.
Mental health needs are at an all-time high, and coverage for CCM is expanding rapidly. Partnering with April Health allows clinics to take advantage of this opportunity without the traditional challenges of implementing CCM.
Benefits of acting now include:
The expansion of CCM 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 CCM and position your practice for the future of integrated care.
If you are in crisis or a life threatening situation, call 911 or The National Suicide Prevention Hotline at 1-800-273-TALK