Collaborative Care Model Medical Benefit – Provider Attestation Form Effective January 1, 2023 - Community First Health Plans

Texas Medicaid implemented a medical benefit for the Collaborative Care Model (CoCM) on June 1, 2022, as directed by Senate Bill 672, 87th Legislature, Regular Session, 2021. Community First requests providers who render CoCM services complete an attestation form prior to the delivery of CoCM services.

Beginning January 1, 2023, providers of CoCM services (physicians, physician assistants, nurse practitioners, and clinic/group practices) must complete an attestation form which confirms they have an established CoCM program which adheres to the CoCM core principles and the specific functional requirements of the model, as described in the “Collaborative Care Model (CoCM)” benefit in the Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook (Vol. 2, Provider Handbooks) in the Texas Medicaid Provider Procedures Manual (TMPPM). The five CoCM core principles are:

Patient-centered team care
Population-based care
Measurement-based treatment to target
Evidence-based care
Accountable care

The Community First CoCM attestation form is effective January 1, 2023. Providers who render CoCM services must submit to their Provider Representative a copy of the attestation form, which can be viewed in Provider Forms.

The Community First CoCM attestation form will serve as an interim process while the Health and Human Services Commission (HHSC) explores the approach to use the Provider Enrollment Management System (PEMS) to provide this information.

Community First providers who render CoCM services must complete and sign the CoCM attestation and provide it to their Provider Relations Representative.

Resources

· Community First CoCM Attestation Form

· Information about the CoCM benefit is published in Section 9.3 of the Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook (Vol. 2, Provider Handbooks) in the TMPPM.

· For more information on the CoCM to include evidence base, core principles and team structure, refer to Advancing Integrated Mental Health Solutions (AIMS) Center, University of Washington, Psychiatry and Behavioral Sciences Division of Population Health.