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?
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?
- 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?
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?
Regarding confidentiality, you do NOT need to obtain a specific Release of Information unless your patient has substance misuse issues. All C-PAC services are covered under HIPAA Care Coordination rules and guidelines—the only exception is if your patient has substance misuse issues. Title 42 CRF requires that in order for any information related to substance misuse to be disclosed, a signed Release of Information is required. To review Title 42 CRF click here.
To download a blank Release of Information click here: Release of Information form PDF
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?
‘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?
Q: Why is there a 'K' at the end of your website? I’m confused, is your program called 'C-PAC' or 'C-PACK'?