Collaborative care, fully staffed and managed, inside your practice.
Psychiatric backing for the depression and anxiety your practice already screens for. We supply the behavioral health care manager, the psychiatric consultant, and the program infrastructure — your practice remains the treating provider.
Call NowThe referral gap
Patients screen positive
PHQ-9 and GAD-7 scores come back elevated in visits you are already running.
Referrals take months
Outside psychiatry has long waits, and the referral loop rarely closes.
Roughly half never connect
Most positive screens end without the patient ever starting care.
The model
What collaborative care is
The Collaborative Care Model (CoCM) is a team-based way to care for depression and anxiety inside a primary care or OB/GYN practice. It was developed at the University of Washington and is supported by more than 90 randomized controlled trials. Four roles make it work:
The patient’s own doctor
Remains the treating provider throughout — prescribing, adjusting, and directing care as they always have.
A behavioral health care manager
Supplied by us, working under the practice’s direction. Stays in regular contact with each enrolled patient between visits.
A psychiatric consultant
Supplied by us, working under the practice’s direction. Reviews the caseload with the care manager every week and makes recommendations to the doctor.
Measurement and a registry
PHQ-9 and GAD-7 scores tracked over time for every enrolled patient, so no one falls through and care is adjusted until scores improve.
Care is measured, not open-ended: most patients improve and are discharged in under a year — per OMH guidance, most at 9 months or less.
New York
Why New York, why now
In 2025, New York State raised its Medicaid rates for collaborative care and removed the program's early-year rate reductions. The reimbursement now supports the model — the remaining hurdle is administrative, and that is the part we handle.
$172.97/montheff. 9/1/25
NY Medicaid monthly base rate for CoCM (rate code 5246), per NYS OMH billing guidance, effective Sept 1, 2025.
+$86.48
Add-on for months with 90+ minutes of care management (rate code 5261 / CPT 99494), per the same guidance.
100% from month one
Rates are paid in full from the first month — the former Year-2 reductions and retainage were eliminated, per NYS OMH guidance.
OMH CCMP
To bill these rates, a practice must be accepted into the Collaborative Care Medicaid Program run by the NYS Office of Mental Health. We prepare and manage that enrollment.
Beyond Medicaid: Medicare has reimbursed collaborative care nationally since 2017 (CPT 99492/99493/99494), and most commercial payers also cover it.
Your part
What your practice does
Almost nothing changes in your day. Your practice does three things:
Identify
Flag patients from the PHQ-9 and GAD-7 screenings you already run.
Consent
Obtain the patient’s consent to enroll in collaborative care.
Sign
Sign off on notes. Your clinical judgment directs the program.
We operate everything else:
- Staffing — the behavioral health care manager and psychiatric consultant, working under your direction
- The registry and symptom tracking
- Program paperwork and OMH CCMP enrollment
- Billing setup for the collaborative care codes
The total lift on your side works out to roughly five minutes of physician time per enrolled patient per month.
Questions
Common questions
What is the Collaborative Care Model?
The Collaborative Care Model (CoCM) is a team-based, measurement-based way to care for depression and anxiety inside primary care. It was developed at the University of Washington and is supported by more than 90 randomized controlled trials. The patient’s own doctor stays in charge of their care throughout.
Does insurance actually pay for this?
Yes. New York Medicaid pays a monthly base rate of $172.97 per patient (effective September 1, 2025) through the Collaborative Care Medicaid Program (CCMP). Medicare has reimbursed collaborative care nationally since 2017, and most commercial payers also cover it.
What does my practice have to do?
Three things: identify patients from the screenings you already run, obtain their consent, and sign off on notes. We operate everything else — staffing, the registry, tracking, program paperwork, and billing setup.
Is this the same as hiring a therapist?
No. Co-located therapy is a different model, and often a money-losing one. Collaborative care is structured care management with psychiatric consultation behind your existing patient relationships, tracked to measurable outcomes.
About
Who runs this
I'm Brandon Tate. Before moving into the private sector I worked on the front lines of public service — as a mental health case manager and, before that, in law enforcement — where I saw firsthand how often behavioral health needs go unmet. I hold a BA in psychology from Kent State University, and I'm based in Connecticut, working with independent practices in New York. I run the operations and answer the phone myself.
Contact
Talk it through in 15 minutes
No pitch deck, no obligation. Bring your questions about staffing, CCMP enrollment, or how the model would fit your patient panel.
Prefer email? hello@collaborativecaremanagement.com