Table 1.

Detailed CoCM Team Member Roles

Treating (Billing) Practitioner*	• Directs the behavioral health care manager and clinical staff • Oversees the beneficiary’s care, including prescribing medications
Behavioral Health Care Manager	• Provides the following with systematic support from a psychiatric consultant: • Assessment and care management services, including the administration of validated rating scales • Behavioral health care planning in relation to behavioral or psychiatric health problems, including revision for patients who are not progressing or whose status changes • Brief psychosocial interventions • Maintenance of the registry
Psychiatric Consultant	• Participates in regular review of clinical status of patients receiving CoCM service • Advises the team regarding diagnosis • Indicates options for resolving issues with beneficiary adherence and tolerance of behavioral health treatment • Makes adjustments to behavioral health treatment plan for beneficiaries who are not progressing • Manages any negative interactions between beneficiaries’ behavioral health and medical treatments.

The above table was adapted from the Medicare Learning Network (MLN) “Behavioral Integration Services Fact Sheet”¹²

*The Treating (Billing) Practitioner is often the primary care physician