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<section article="ghg" article_name="Health - General" number="15-141.1" title_number="15" title_name="Assistance Programs" subtitle_number="1" subtitle_name="Medical and Pharmacy Assistance Programs">
  <level label="a">
    <text>In this section, “Collaborative Care Model” means an evidence–based approach for integrating somatic and behavioral health services in primary care settings that includes:</text>
    <level label="1">
      <text>Care coordination and management;</text>
    </level>
    <level label="2">
      <text>Regular, proactive outcome monitoring and treatment for outcome targets using standardized outcome measurement rating scales and electronic tools, such as patient tracking; and</text>
    </level>
    <level label="3">
      <text>Regular systematic psychiatric and substance use disorder caseload reviews and consultation with a psychiatrist, an addiction medicine specialist, or any other behavioral health medicine specialist as allowed under federal regulations governing the model.</text>
    </level>
  </level>
  <level label="b">
    <text>This section may not be construed to prohibit referrals from a primary care provider to a specialty behavioral health care provider.</text>
  </level>
  <level label="c">
    <text>The Department shall implement and provide reimbursement for services provided in accordance with the Collaborative Care Model statewide in primary care settings that provide health care services to Program recipients.</text>
  </level>
  <level label="d">
    <text>The Department may not impose a copayment, coinsurance, or deductible requirement for services provided in accordance with the Collaborative Care Model statewide in primary care settings that provide health care services to Program recipients.</text>
  </level>
</section>
