Table 3.

Summary of Key Activities in Integration of Behavioral Health and Primary Care, 2013–2018

State	Integration Approach
Arkansas	• Planned to implement a Medicaid health home model for individuals with complex needs, including individuals who use BH services • BH‐related episodes of care for attention deficit hyperactivity disorder and oppositional defiant disorder
Maine	• Medicaid ACO program required inclusion of BH providers in ACO networks • Technical assistance to BHHs to improve care coordination, including coordinating with a patient's primary care provider • HIE for BHHs
Massachusetts	• Expanded successful telehealth initiative for children, Massachusetts Child Access and Psychiatry Project, to include psychiatric consultation with PCPs for postpartum mothers • Required formal relationships between ACOs and BH partners • Required colocation of BH providers within primary care medical homes
Minnesota	• Grants to ACOs and PCMHs to better integrate BH care • Practice transformation assistance for primary care and BH providers that was key in providers successfully becoming BHHs (the BHH model was implemented in parallel with SIM)
Oregon	• Learning collaborative and technical assistance for BH providers and a BH integration library of technical assistance materials for PCPs • Four of the 17 performance metrics for the CCO model are related to behavioral health • Telehealth initiative to increase access to mental health services and facilitate BH integration • Colocation of BH providers in CCOs through Medicaid contracts
Vermont	• ACO includes BH‐related quality measures in its quality framework • Training for BH team members and PCPs in learning collaboratives for care management • Hub‐and‐spoke health home

Abbreviations: ACO, accountable care organization; BH, behavioral health; BHH, behavioral health home; CCO, Coordinated Care Organization; HIE, health information exchange; PCMH, patient‐centered medical home; PCPs, primary care physicians.