US · guidance
CMS Pub. 100-02, ch. 13, § 230.2.4
General Behavioral Health Integration (BHI) Services
BHI is a team-based, collaborative approach to care that focuses on integrative
treatment of patients with primary care and mental or behavioral health conditions.
Effective January 1, 2018, RHCs and FQHCs are paid for general BHI services
when a minimum of 20 minutes of qualifying general BHI services during a
calendar month is furnished to patients with one or more new or pre-existing
behavioral health or psychiatric conditions being treated by the RHC or FQHC
primary care practitioner, including substance use disorders, that, in the clinical
judgment of the RHC or FQHC primary care practitioner, warrants BHI services.
General BHI service requirements include:
• An initial assessment and ongoing monitoring using validated clinical
rating scales;
• Behavioral health care planning in relation to behavioral/psychiatric health
problems, including revision for patients who are not progressing or whose
status changes;
• Facilitating and coordinating treatment such as psychotherapy,
pharmacotherapy, counseling and/or psychiatric consultation; and
• Continuity of care with a designated member of the care team.
History
(Rev. 11803; Issued: 01-26-23; Effective: 01-01-23; Implementation: 02-27-23)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
e9f97493c03b1aaa6c5c35cba38adb7b3903ccce7bca1aa95c7ec54c58d682f3
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