Q: My office already has a process in place to refer patients to the mental health center in our community. Why would I need C-PAC services?
A: That’s fantastic! Most PCP offices already have a ‘referral process’ in place. We do not want to disrupt that process or the relationships already formed. We have partnered with the mental health center in your community and they fully support the C-PAC program as it provides guidance and support to PCP’s and their clinics—and it helps ensure that only the most severe symptomatic patients are referred to specialty behavioral health care.

C-PAC services are designed to help PCP’s in real-time by offering direct consultation with a psychiatrist (via phone) while the patient is waiting in your exam room. This provides PCP’s with guidance on what psychiatric medications to prescribe, confirmation of diagnosis and treatment plan recommendations.

Most patients present to their PCP’s office first with a behavioral health issue. Many times PCP’s don’t feel confident in what psychiatric meds to prescribe or whether their patient needs to be referred to specialty behavioral health care. In rural Colorado, patients can wait weeks to months to see a psychiatrist. C-PAC fills a huge gap in care by providing expert psychiatric guidance, support and training to PCP’s and their clinic staff.

 

Q: Who can use C-PAC? Can anyone from my office call?
A: C-PAC services are available to meet the needs of primary care prescribers (family practice, pediatrics and internal medicine) in Regions 2 & 4 in Colorado. This includes all medical staff within a primary care practice (MD, DO, NP, PA, RN, LPN, MA, BHP, office staff, etc.). There are two requirements to be eligible to enroll in C-PAC: #1. Your primary care practice must be in Region 2 or 4.  #2. Your primary care practice must be treating/accepting patients with Medicaid.

Not sure if you’re in Region 2 or 4? Click on this link for a map: www.cpack.org/where-we-re-located.

C-PAC has expanded to include services for adults in addition to children. All previously enrolled PCP offices still need to re-enroll in the program due to the additional services. Once enrolled, anyone from your office can call to request services, if a psychiatric consult is needed one of our psychiatrists will call the PCP directly within 30 minutes.

Please contact us if you are interested in enrolling in C-PAC.

 

Q: What are examples of reasons to contact C-PAC?
A: Our staff are highly qualified with a diverse background in child and adult behavioral healthcare. We are a dedicated team who enjoy conversations with primary care.  We welcome requests or questions for any issue related to behavioral healthcare. This can be a general question or a question related to specific patient.  Examples are listed below but are certainly not inclusive.

  • Psychiatric medication questions or prescribing guidance
  • Behavioral Health Diagnosis review
  • Recommendations for treatment
  • Comorbidities (i.e. Diabetes and Depression, Childhood trauma and adult cardiac issues)
  • Substance abuse issues
  • Screening tools for a variety of psychiatric and behavioral health issues
  • Referrals to community resources, including behavioral health professionals
  • Complex care issues (foster care, post psychiatric hospital admission, etc.)

 

Q: Can you help me with a crisis?
A: We are not set up to directly assist you in a crisis.  Please utilize your existing crisis procedures. Or contact Colorado Crisis Services at           (844) 493-8255 or text “TALK” to 38255. Or click on this link: www.coloradocrisisservices.org

In a non-crisis situation we may be able to assist you in other ways, however, such as providing risk assessment tools and referrals to community resources.

 

Q: Are all of your services really free? And can I use C-PAC services for my patients that do not have Medicaid?

A: Yes! All of C-PAC services are paid for by Northeast Health Partners and Health Colorado. C-PAC services are a covered benefit of the Regional Organization (aka RAE) contracts in Regions 2 & 4. There is NEVER a charge to the PCP, the PCP’s office or to the patient.

And yes, C-PAC services are available to ALL of your patients regardless of age or insurance status/payer source. That is one of our favorite things about this program. ALL of your patients can benefit from C-PAC!

 

Q: How long does a typical doctor-to-doctor phone consultation last?

A: A typical consult is around 7-10 minutes long. However, there is no time limit and our psychiatrists will provide you with as much time as needed to discuss your patient.

 

Q: If my patient needs to be referred to specialty behavioral health care, when will you contact my patient to assist them with this?

A: We will reach out to your patient within 5 business days. However, this is usually done within the first 24-48 hours”.

 

Q: Who is responsible for getting ‘consent’ from my patient for me to consult with C-PAC? And do I have to get a signed Release of Information?
A: Great questions! It is the responsibility of the PCP’s office to discuss ‘consent’ with the patient/family. When a call is placed to C-PAC, we assume that you have already discussed this with your patient and they are agreeing to the psychiatric guidance/assistance that C-PAC provides.

Regarding confidentiality, you do not need to obtain a specific Release of Information. All C-PAC services are covered under most generic HIPAA Care Coordination rules.

 

Q: How do I document that I received a consultation with a C-PAC psychiatrist? Do you send me something I can put in the patient’s chart?
A: The consulting psychiatrist is not presuming care of your patient nor are they prescribing to that patient directly. As the call is a consultation between two prescribers we do not provide documentation for your patient’s chart. However, you as the patient’s prescriber can and should document the consultation in the patient’s chart. You as the prescriber are still responsible for the medications you choose to prescribe based upon the information given in the consultation. Here is an example of how you could complete the documentation:

 

‘This provider spoke with Dr. Michel (C-PAC psychiatrist) by phone for a consultation regarding medications that would be helpful for this patient. This provider reviewed his/her symptoms & health history with Dr. Michel and based on this information, recommends that patient be started on 10 mg qd of Prozac and titrate up to 40mg qd over the next 3-4 weeks if tolerated well. Dr. Michel suggested that pt be given a low dose of a benzodiazepine or a similar medication to not exceed 4 weeks of usage. Additionally, Dr. Michel recommends that patient be referred to out-pt mental health therapy. This provider will continue to see patient every 1-2 weeks to monitor the efficacy of the meds over the next 8 weeks and will call C-PAC psychiatrist if further consultation is needed. PCP has discussed all of this with patient and he/she is in agreement. This provider has referred patient to the in-house behavioral health therapist’.

We recommend that you talk to the compliance officer/documentation specialist at your clinic to determine your practices’ standards and expectations for documentation.

 

Q: How does Beacon Health Options fit into the structure of Health Colorado or Northeast Health Partners? And how is Beacon Health Options involved with C-PAC?
A: Beacon Health Options is the Administrative Service Organization for Health Colorado and Northeast Health Partners. That means that Beacon Health Options provides high level oversight in addition to ensuring compliance and state mandates/objectives are met, etc. Additionally, Beacon Health Options provides and manages the C-PAC program and services.

 

Q: Why is there a 'K' at the end of your website? I’m confused, is your program called 'C-PAC' or 'C-PACK'?
A: C-PAC services were formerly only available to children. The ‘K’ stands for ‘kids’. We dropped the ‘K’ as we now provide services for adults as well, but we didn’t want to cause confusion by changing our website address.”