Integrated Care Plans for Providers
What is the ICP Program at CBH?
The ICP Program at CBH is a Pay-for-Performance (P4P) program that promotes the Pennsylvania Department of Human Services (PA DHS) goal of greater integration and coordination of behavioral health and physical health services. The ICP program aims to improve the quality of health care and reduce expenditures through enhanced care coordination between PH-MCOs, BH-MCOs, Primary Contractors, and providers.
This program focuses on adult members with both physical and behavioral health needs based on criteria defined by PA DHS. Using this framework, CBH works with providers to address these members’ needs effectively.
If you are a CBH Member, click here to learn more about Integrated Care Plans.
What is an Integrated Care Plan?
An Integrated Care Plan (ICP) is a care coordination tool that consolidates an individual’s physical and behavioral health information into a single, comprehensive document. Developed collaboratively by the individual’s physical and behavioral health insurance carriers and treatment providers, an ICP simplifies access to essential health information, supporting a more holistic approach to care.
An individual’s ICP may contain the following information:
- Their physical and behavioral health history, including diagnoses, utilized services, prescribed medications, and treatment goals.
- Contact information for each member of their care team, including physicians, therapists, case managers, and social workers.
- Social determinants of health (SDOH) needs, including housing, transportation, employment, safety, food, childcare, etc.
- Next steps the care team can take to assist the member in their treatment plan.
Who is eligible for an ICP?
To be eligible for an ICP, an individual must be:
- An adult aged 18 – 64
- Medicaid-eligible (excluding Medicare)
- Diagnosed with a Serious and Persistent Mental Illness (SPMI) such as:
- F20 – Schizophrenia Disorders.
- F25 – Schizoaffective Disorders.
- F28 & F29 – Other Non-organic Psychoses.
- F30 – F33.9 – Episodic Mood Disorders.
- F34 – Persistent Depressive Disorder.
- F39 – Unspecified Mood Disorder.
- F60.3 – Borderline Personality Disorder.
ICP Resources for Providers
Check out the resources below to learn more about ICPs and the ICP Program:
- Quality in Unity Navigating ICPs Webinar Presentation.
- Collect consent and send it to the ICP Champion Form.
- Obtaining an Existing ICP.
- Call member services at 888-545-2600 or contact CBH.ICP@phila.gov or your Provider Representative to find out if a member you work with already has an ICP and obtain a copy.
How Can I Learn More?
For more information about ICPs, please email CBH.ICP@phila.gov or call CBH Member Services at 888-545-2600.
