Behavioral Health Integration Fund

incurred during the approved funding period and after required approvals are complete • Add to or meaningfully strengthen existing work • Not replace existing funding for an established position or activity • Not duplicate an expense paid or reimbursed by Medicaid, another payer, another grant, or another funding source • Support appropriately trained and credentialed personnel, as applicable • Follow the requirements of the clinic’s subgrant agreement and applicable federal and state requirements Expenses the Funds May Support The examples below are intended to help clinics develop a proposed budget. They are not exhaustive. Expenses must align with the clinic’s selected pathway and approved project. Clinics may also include an eligible activity listed under the other pathway when it supports their approved project. Final approval will depend on the clinic’s site-specific workplan, budget, and fully executed subgrant agreement. Personnel expenses must support new or expanded project responsibilities during the approved funding period and may not replace existing funding for established positions, responsibilities, or activities. Category Examples Pathway A: Foundational Integration activities Approved expenses associated with adoption of standardized screening instruments (for example, PHQ-9, GAD-7, C-SSRS or ASQ, AUDIT-C, DAST, and social needs screening), including licensing where applicable; staff time to write and document positive-screen response protocols and suicide risk escalation procedures; warm handoff workflow design and staff training; closed-loop referral tracking processes and documentation standards; telebehavioral health equipment, such as carts, tablets, cameras, and headsets, and setup of a private space for virtual visits (may require additional review and approval); and development and execution of referral and partnership agreements with specialty behavioral health providers. Pathway B: Integrated Care Implementation activities Approved expenses associated with nonbillable startup and implementation time for behavioral health care managers, consulting psychiatrists, and clinical champions; model-specific training and certification, such as Collaborative Care Model (CoCM) or Primary Care Behavioral Health (PCBH) implementation training; patient registry and