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Family and Social Services Administration

DMHA > Indiana Primary Care and Behavioral Health Integration (IPCBHI) Initiative Indiana Primary Care and Behavioral Health Integration (IPCBHI) Initiative

General Overview

The Indiana Family and Social Services Administration (FSSA) in partnership with the Indiana State Department of Health (ISDH) launched an initiative in 2012 to develop a statewide strategic plan to integrate primary and behavioral health care services in Indiana. The advancement of primary care and behavioral health integration has received attention and momentum not only in Indiana but throughout the country. This effort has been promoted nationally through leading federal agencies such as Substance Abuse and Mental Health Services Administration (SAMHSA), Health Resources and Services Administration (HRSA), and Centers for Medicare and Medicaid Services (CMS). Ongoing field studies and evidentiary research indicates the longitudinal benefits of integration and supports the implication that it has overtime improved patient care, improved health of populations, and reduced the per capita cost of health care.

Integration Defined:
The management and delivery of behavioral and physical health services so that clients receive a continuum of preventive and curative services, according to their needs over time and across different levels of the health system.

-Adapted by the Indiana PCBHI Stakeholder Group from the World Health Organization

Past Efforts:
Indiana’s Primary Care and Behavioral Health Integration (PCBHI) summary of past efforts include the formation of the statewide stakeholder group, formalized definition for integration for Indiana, and the original creation of five subcommittees that spearheaded research and collaboration in the following areas:

  • Data/Technology
  • Education/Training
  • Funding/Reimbursement
  • Health Homes/Care Coordination
  • Policy Development

In addition, FSSA applied for and was awarded the SAMHSA and National Association of State Mental Health Program Directors (NASHMHPD) Transformation Transfer Initiative (TTI) Grant which allowed Indiana to complete the following initiatives toward integration:

  • Offered eight (8) integration educational training events in 2013.
  • Hired a full time contract position to coordinate statewide integration efforts.
  • Completed a statewide integration survey.
  • Offered Cross training for Community Health Workers (CHW) and Certified Recovery Specialists.
  • Established process for state approved integrated care CHW certification.
  • Established PCBHI Guiding Principles.

Current Efforts:
In December 2014, Indiana re-launched this initiative by reconvening the stakeholder group to finalize the development of implementation strategies for 2015. FSSA and ISDH’s plan is to recognize and grant state approval to the following provider types that are delivering integrated care within the state defined guidelines:

  1. Community Mental Health Centers (CMHC)
  2. Federally Qualified Health Centers (FQHC)
  3. Rural Health Clinics (RHC)
  4. Community Health Centers (CHC)

Indiana recently released its strategic plan as a framework for the implementation of integration. The strategic plan is a living document and provides the framework for the development of a Policy and Operational Manual .

The state convenes the stakeholder group bi-monthly, and has activated six subcommittees: Funding/Reimbursement, Data/Technology, Future Opportunities (formerly Care Coordination), Workforce Development(formerly Education/ Training), Policy Development, and added a new subcommittee: Quality Assurance.

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