Programs / BHI & CoCM
Behavioral Health
Behavioral Health Integration
What it is
Behavioral Health Integration (BHI) covers care management for patients with a diagnosed behavioral health or substance use condition. Two tracks:
- General BHI (99484) — clinical staff time providing behavioral health care management, monthly.
- Psychiatric Collaborative Care Model (CoCM) — a structured team-based model with a primary care practitioner, a behavioral health care manager, and a psychiatric consultant (99492 / 99493 / 99494).
Who qualifies
- Patient has a diagnosed behavioral health or substance-use disorder (ICD-10 F-code or behavioral diagnosis on file).
- Consent on file.
- General BHI: ≥ 20 min of clinical staff time per month directed by the billing practitioner.
- CoCM: structured team in place (BH care manager + psychiatric consultant) with registry tracking, weekly case load review, and validated symptom measurement.
Codes & when to bill them
How the minutes add upGeneral BHI is a single 99484 at 20 minutes. The Collaborative Care Model bills 99492 for the first month (70 min), 99493 each subsequent month (60 min), then 99494 for each additional 30 minutes.
Each billable code, with the requirements that must be on file to bill it.
-
99484General Behavioral Health Integration — at least 20 minutes of clinical staff time per calendar month.RequirementsBehavioral diagnosis; consent; 20+ min documented.
-
99492Initial 70 minutes of CoCM in the first calendar month of enrollment.RequirementsStructured CoCM team in place; first month only.
-
99493Subsequent months: 60 minutes of CoCM care management.RequirementsAfter first month; ≥ 60 min.
-
99494Each additional 30 minutes of CoCM in any month (with 99492 or 99493).RequirementsAdd-on; max 2 per month.
Documentation required every cycle
- Behavioral diagnosis documented (or rationale for override).
- Time log for clinical staff or care manager.
- For CoCM: registry of patients, measurement-based care tracking (e.g., PHQ-9, GAD-7), and weekly psychiatric-consultant caseload review documented.
- Patient consent.
- Practitioner sign-off.
Built-in patient consentWillowbridge exclusive
Every program ships with compliant, CY-2026 patient consent language — read verbatim into the in-app consent capture flow, captured with date + modality, and version-pinned to each claim, so the consent on file always matches the consent that was billed. No more chasing signatures or re-papering when the rule changes.