Our source order
Not every source carries the same weight.
01
Law and regulation
Statutes, the Code of Federal Regulations, state administrative rules.
02
Agency guidance
Medicare manuals and booklets, Medicaid policy bulletins, licensing guidance.
03
Payer documents
Published provider manuals, bulletins, and program requirements.
04
Research evidence
Peer-reviewed studies and established implementation resources.
When the available sources disagree, are incomplete, or do not answer the question, the Center says so.
Everything published here rests on documents anyone can open. Where the Center holds only a private communication, the claim does not appear.
Section 01
Collaborative Care and behavioral health integration
Authoritative guidance
Centers for Medicare and Medicaid Services
Behavioral Health Integration Services, MLN909432
Establishes
The Collaborative Care team structure, the service elements, the monthly time thresholds, the billing codes 99492, 99493, 99494, G2214 and 99484, and the general-supervision framework for the model.
Used in
The argument · CoCM Startup Brief · BHCM Pivot Playbook · Credentialing Cheat-Sheet
Last checked August 2026
Authoritative guidance
Centers for Medicare and Medicaid Services
Medicare Learning Network, care management publications
Establishes
How Medicare describes care-management services generally, which is the family the monthly Collaborative Care codes belong to.
Research evidence
AIMS Center, University of Washington
Collaborative Care implementation and evidence resources
Establishes
The clinical evidence base for the model, the role definitions used in practice, and published caseload guidance for care managers.
Used in
The argument · CoCM Startup Brief · Career Path Guide
Last checked August 2026
Section 02
Medicare enrollment and payment
Primary source
United States Congress
Consolidated Appropriations Act, 2023
Establishes
That counselors and marriage and family therapists became eligible to enroll in Medicare as of January 1, 2024.
Used in
Medicare Enrollment Cheat-Sheet · the Medicare study
Last checked August 2026
Authoritative guidance
Centers for Medicare and Medicaid Services
Medicare provider enrollment guidance and PECOS
Establishes
The federal enrollment system, the application pathways, and the records a clinician establishes when enrolling.
Used in
Medicare Enrollment Cheat-Sheet · the Medicare study
Last checked August 2026
Authoritative guidance
Centers for Medicare and Medicaid Services
Participation, assignment, and the participating agreement
Establishes
What the participating and non-participating elections mean, and how assignment affects the payment rules that follow.
Authoritative guidance
Centers for Medicare and Medicaid Services
Physician Fee Schedule and the payment lookup
Establishes
What a given code pays by Medicare locality, and the tool for looking up a current rate rather than relying on a national average.
Used in
Medicare Enrollment Cheat-Sheet · the argument
Last checked August 2026
Authoritative guidance
Centers for Medicare and Medicaid Services
Medicare telehealth policy
Establishes
What the current statutory telehealth provisions allow for behavioral health services, as stated on the agency page on the date checked.
Section 03
Incident-to services and supervision
Primary source
Code of Federal Regulations
42 CFR 410.26, services incident to a physician’s service
Establishes
The conditions under which a service furnished by auxiliary personnel may be billed incident to a physician’s professional service, including the supervision requirement.
Used in
The argument · BHCM Pivot Playbook · Medicare Enrollment Cheat-Sheet
Last checked August 2026
Authoritative guidance
Centers for Medicare and Medicaid Services
Medicare Benefit Policy Manual, chapter 15
Establishes
The agency’s own interpretation of the incident-to conditions, including employment, direction, and the setting in which the service is furnished.
Section 04
Michigan licensure and supervision
Primary source
Michigan Public Health Code
Article 15, part 181, professional counselors
Establishes
The statutory basis for counselor licensure in Michigan, including the limited license and the requirement for supervised experience.
Used in
Supervisor Eligibility Checker · Career Path Guide · the supervision study
Last checked August 2026
Primary source
Michigan administrative rules
Licensed professional counselor rules, supervision provisions
Establishes
What the state requires of supervised experience and of the person providing supervision. The rules do not state whether qualifying care-management work counts toward that experience.
Used in
Supervisor Eligibility Checker · the supervision study
Last checked August 2026
Authoritative guidance
Michigan Bureau of Professional Licensing
Counseling licensure guidance and forms
Establishes
The application pathway, the documentation the state accepts, and the published guidance for supervisors and limited-license holders.
Used in
Supervisor Eligibility Checker · Career Path Guide
Last checked August 2026
Section 05
Michigan Medicaid
Authoritative guidance
Michigan Department of Health and Human Services
Medical Services Administration bulletin MSA 21-19
Establishes
Michigan Medicaid’s coverage policy for the behavioral health integration and Collaborative Care codes, as issued.
Used in
Credentialing Cheat-Sheet · the credentialing study
Last checked August 2026
Authoritative guidance
Michigan Department of Health and Human Services
Medicaid Provider Manual, behavioral health sections
Establishes
The current operative policy language, which supersedes an individual bulletin where the two differ.
Authoritative guidance
Michigan Department of Health and Human Services
CHAMPS provider enrollment
Establishes
The state enrollment system and the records a practice and its clinicians must hold to bill Michigan Medicaid.
Used in
Credentialing Cheat-Sheet · the credentialing study
Last checked August 2026
Section 06
Michigan commercial payers
Payer document
Blue Cross Blue Shield of Michigan and Blue Care Network
Published provider materials, behavioral health integration
Establishes
What the payer states publicly about the integration codes it recognizes. It does not establish what any one practice or staffing arrangement must do.
Used in
Credentialing Cheat-Sheet · the credentialing study
Last checked August 2026
Payer document
Blue Cross Blue Shield of Michigan
Physician Group Incentive Program, public program materials
Establishes
That participation runs through a physician organization, and that program participation is a separate question from code recognition.
Payer document
Priority Health
Published provider manual and policy pages
Establishes
The payer’s stated provider requirements. Where its published pages do not answer a question, the Cheat-Sheet says to verify with the payer.
Section 07
Research and field evidence
Research evidence
Peer-reviewed literature
Randomized trials and systematic reviews of Collaborative Care
Establishes
That the model improves depression and anxiety outcomes in primary care relative to usual care, across a large trial literature.
Research evidence
Michigan Mental Health Counselors Association
Member survey, 2026
Establishes
What responding Michigan practices reported about hiring decisions during a period of reimbursement change. The findings describe respondents, not all Michigan practices.
Research evidence
Center for Integrative Neuroscience
Behavioral Health Workforce Observatory
Establishes
License-record counts across eighteen states, including the supervised tier. The Observatory counts licenses; it does not measure practice experience, which is what the six studies ask.
About currency
This library records the sources the Center has used and the date each was last checked. It is not a regulatory monitoring service. If a link here has gone stale, tell us and we will fix it and say that we did.
For individualized monitoring of changes affecting a particular practice, Kedge is a separate platform.