Integration of Primary Care and Behavioral Health Services – Project 3.a.i


Integration of Behavioral Health Services into Primary Care Services (Model 1) and the integration of Primary Care Services into Behavioral Health Sites (Model 2) can provide timely access for patients to better manage and cope with mental health and physical health. Early detection will allow for better treatment and ensure treatments for medical and behavioral health conditions are compatible and do not cause adverse effects.

Care Compass Network’s Goals

  • Increase early identification and detection of behavioral health and substance use disorders in primary care to allow patients to receive counseling and intervention services to mitigate high no show rates and remove stigma barriers to care.
  • Provide evidence-based training and forum opportunities to build and support primary care’s capacity to address and conduct behavioral health and substance abuse screenings.
  • Provide timely access to Behavioral Health Services in Primary Care to allow for rapid interventions, de-escalation and connection to outpatient and specialty psychiatric services.
  • Improve care coordination and communication between socio, medical and Behavioral Health Services across the continuum of care.
  • Provide access to Primary Care services for behavioral health patients where they already have an established and trusting relationship.
  • Engage patients in the development of care plan, action plans, self-management goals and lifestyle modifications.
  • Decrease the number of avoidable admissions to Hospital emergency departments for preventable illnesses.

Who is Eligible to Participate in the Project?

Depending on the model chosen, any Primary Care Provider that is Patient-Centered Medical Home (PCMH) Certified or wants to become certified and outpatient Behavioral Health Providers (Article 31 or Article 32) can be eligible to participate.

Latest News & Updates
A Roadmap to Behavioral Health – December 19, 2017

Use this guide along with the Roadmap to Better Care and a Healthier You to help your patients understand how to use their coverage and improve their mental and physical health. This guide adds to the 8 steps of the Roadmap to provide important information about behavioral Health. […] Read More

Medicaid Accelerated eXchange (MAX) Series Program Final Report – December 11, 2017

Over the past 12 months, 10 Action Teams from across New York State have participated in the first year of the MAX Series Program, which focused on the integration of Behavioral Health and Primary Care Services. These 10 Action Teams have been comprised of clinicians, administrators, and community providers. Click here to view the New York State Department of Health’s report on lessons learned from a few of the Action Teams.

Suicide Affects Everyone: The Role of the Health Care Professional In Suicide Prevention – December 8, 2017

Suicide is a critical issues across the globe, with 90% of suicide deaths occurring in individuals with a mental health diagnosis. Unfortunately, suicide rates have been climbing over the last several decades, with an increase of 24% within the United States over the last 15 years […] Read More

RHIO/QE Connections and Barriers Survey – December 5, 2017

The New York State Offices of Mental Health (OMH) and Alcohol and Substance Abuse Services (OASAS) are conducting a survey measuring Regional Health Information Organization (RHIO)/Qualified Entities (QE) connections and barriers that Behavioral  Health providers may have or encounter. […] Read More

The 5 Stages of Change – November 15, 2017

Breaking the cycle of change begins with a deeper understanding of what the process of change actually looks like. Katherine Schafler, a NYC-based Psychotherapist, explains the 5 stages of changing your behavior; 1. Pre-contemplation, 2. Contemplation, 3. Preparation, 4. Action, and […] Read More

Eight Competencies of Primary Care and Behavioral Health Clinicians – November 8, 2017

In 2016 over 100 behavioral health clinicians, primary care physicians, and administrators came together to try to isolate and describe the competencies that behavioral health clinicians in primary care should bring to a health team. The meeting was the culmination of a 6-month process of meetings and exchanging ideas. Check out the new video that introduces the eight competencies. For additional information on the competencies that are in the report from late 2016, click here.

Have Project-related Questions? CCN’s Project Management Team is Available Every Monday to Answer Your Questions! – October 19, 2017

Beginning on Monday, October 23d, the Project Management Team will host an open call line from 9:00-9:30am. This will be a reoccurring weekly event that will be scheduled every Monday at the same time. There will be no agenda, simply an open line for any Stakeholder to call in and ask question(s). This is for project questions only, any specific questions not related to the projects will be referred to the Partner Relations team.

Call In Number:
(641) 552-9332
Access Code: 934402

Important Notice – Quarterly Reporting due by October 25th – October 18, 2017

For Partners Contracted to do Project Work: With the first 6 months of DSRIP Year 3 complete, CCN must submit the patient engagement reporting data to the DSRIP Independent Assessor in order to earn performance dollars tied to speed and scale. If you have not submitted your date for April 1st – September 30th 2017, please submit your activity by October 25th. All speed and scale reports or any document (could include a screenshot, email, word document, excel file, etc) that includes PHI should be submitted via the sFTP site. For additional information on the sFTP site, please click here to view the CCN sFTP Guide.

Screening, Brief Intervention and Referral to Treatment (SBIRT) Online Training Program – October 4, 2017

The Center for Practice Innovations is offering a FREE online, interactive SBIRT training for healthcare professionals. This 4-hour online training is an evidence-based approach that identifies patients who use alcohol and other drugs at risky levels. The goal of SBIRT is to reduce and prevent related health consequences, disease, accidents and injuries. View the SBIRT training on CCN’s HWapps webpage. Need to create an account? Click here to set up your HWapps account.

National Council for Behavioral Health Educational Videos – September 14, 2017

The National Council for Behavioral Health has produced a series of short, educational videos for the New York State Delivery System Reform Incentive Payment (DSRIP) program to assist PPS network providers with implementing best practices for integrated care. There are four videos: Brief Intervention, Warm Handoff – Motivational Interviewing, Warm Handoff – Anxiety, and Morning Huddle […] Watch Videos

Care Compass Network Supports Partner Organizations Through IT Funding Opportunities – August 24, 2017

Care Compass Network (CCN) can help support partner organizations through approved IT funding opportunities. Currently, programs are in place to assist partners with new implementations of EMR/ EHR systems and to provide funding to accommodate […] Read More

Integration of Behavioral Health into Primary Care Model 1 Webinar – June 21, 2017

Project Manager, Bouakham Rosetti and Emily Pape, Director of Population Health will discuss the quality metrics associated with Project 3ai Model 1 during DSRIP year 3 and discuss any project-specific items and changes to the Phase II Appendix C […] Watch Now

Integration of Primary Care into Behavioral Health Model 2 (Project 3ai) Webinar – June 14, 2017

Nancy Frank, Project Manager and Emily Pape, Director of Population Health provide an understanding of the metrics that will be associated with Project 3ai Model 2 during DSRIP Year 3 as well as discuss the changes in payment, project deliverables and a few frequently asked questions […] Watch Now