Behavioral Health in Primary Care Practice Manual

Table of Contents

  1. Introduction
  2. Our Mission
  3. Interdisciplinary Behavioral Health Clinic Services
  4. Background on the Pediatric Behavioral Health Clinic Model
  1. Current Interdisciplinary Behavioral Health Clinics
  2. Interdisciplinary Behavior Health Clinic Faculty and Staff
  3. Current Clinic Locations
  4. Map of Clinic Sites in Nebraska
  5. Map of counties served in Nebraska
  6. Map of Cities served in Nebraska
  7. Behavioral Health Clinic Brochure
  1. Developing a Behavioral Health Clinic
  2. “Getting In”
  3. How to make a good presentation to Primary Care Practices
  4. Sample Power Point Presentation “Establishing a Behavioral Health Clinic within a Primary Care Setting
  5. Sample Letters to Physicians
  1. Once you are “In” the Clinic
  2. Starting in a New Primary Care Setting: Areas to Consider
  3. Sample memo for patient scheduling to clinic staff
  4. Behavioral Health Clinic Referral Form
  5. Sample Patient Waiting List
  6. Rental Agreement Template
  7. Start-Up Necessities
  1. Procedures for Scheduling and Billing
  2. Flow Chart for Scheduling Referrals
  3. Key Components of Administrative Process for Outreach Clinics
  4. MMI Registration Form
  5. Schedule template
  6. Billing template
  7. Sliding Scale
  8. Description
  9. Fee structure
  1. Clinic Forms
  2. Notice of Privacy Practices
  3. Behavioral Health Clinic Outpatient Services Agreement (English)
  4. Behavioral Health Clinic Outpatient Services Agreement (Spanish)
  5. Demographic Form
  6. Intake Form
  7. Consent Forms
  8. Release to Send Information
  9. Release to Obtain Information
  10. Release (Spanish)
  11. Recommendation Form
  12. Fax Cover Sheet
  13. Mileage Form
  14. OTR’s, TRF’s, Requests for Testing
  1. Licensure requirements in Nebraska
  2. Please refer to the Nebraska Health and Human Services Website for the most current information on Licensure Requirements, Regulations, and Statues for the Practice of Mental Health and Psychology
  3. Mental Health Practice:
  4. Psychology:
  1. Insurance Regulations
  2. Insurance Regulations for PLMHP and PLP
  3. Credentialing New Providers
  4. Sample Letter to an Insurance Company for Additional Providers
  1. APA Ethics Code
  1. Working with Community Agencies
  2. Working as a Behavioral Health Provider in Rural Primary Care: Our Advice for Integrating into the Community
  3. Sample Introduction Letter to Community
  1. Training
  2. Training in Behavioral Pediatrics
  3. Student Information Forms
  4. Pre-Training Report
  5. UNMC/MMI Training Information
  6. Confidential Information about “Disadvantaged Background”
  7. Rural Interdisciplinary Behavioral Health Training-Pretest
  8. Mid-Training Report
  9. Post-Training Report
  10. Rural Interdisciplinary Behavioral Health Training-Post-test
  11. Outreach Standard Readings (Table of Contents)
  12. Family Therapy Program
  1. Select Handouts/Recommendations
  1. Shared Presentations