--- title: Practice Support Services | CoCM description: CoCM | Health care practices in North Carolina face many challenges. Our quality improvement coaches (QICs) are trained to work with you to transform the way in which care is delivered in your practice. --- [![nwahec.png](https://go.northwestahec.wakehealth.edu/hs-fs/hubfs/WFUSM_NWAHEC%20Cobranding%20Logo_H_RGB.png?width=2025&height=300&name=WFUSM_NWAHEC%20Cobranding%20Logo_H_RGB.png "nwahec.png")](https://go.northwestahec.wakehealth.edu/) - [Home](https://go.northwestahec.wakehealth.edu) - [What's New at NWAHEC Blog](https://go.northwestahec.wakehealth.edu/blog) - [NWAHEC Staff](https://go.northwestahec.wakehealth.edu/staff) - [Practice Support Updates](https://go.northwestahec.wakehealth.edu/practicesupport) # Practice Support Update Blog ## [NC Medicaid Updates Coverage for Psychiatric Collaborative Care Management](https://go.northwestahec.wakehealth.edu/practicesupport/nc-medicaid-updates-coverage-for-psychiatric-collaborative-care-management) Jan 13, 2026, 9:00:06 AM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team) posted in [Medicaid](https://go.northwestahec.wakehealth.edu/practicesupport/topic/medicaid), [psychiatry](https://go.northwestahec.wakehealth.edu/practicesupport/topic/psychiatry), [CoCM](https://go.northwestahec.wakehealth.edu/practicesupport/topic/cocm) [0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/nc-medicaid-updates-coverage-for-psychiatric-collaborative-care-management#comments-listing) NC Medicaid has announced important updates to coverage for **Psychiatric Collaborative Care Management (CoCM)** services, effective **December 31, 2025**. This change impacts both **NC Medicaid Direct** and **NC Medicaid Managed Care** programs. --- ## **Key Update: End-Dating of HCPCS Code G0512** The **Healthcare Common Procedure Coding System (HCPCS) code G0512** will be **end-dated on Dec. 31, 2025**. This means Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) must transition to reporting CoCM services using individual CPT and HCPCS codes that previously comprised G0512. Per **Centers for Medicare & Medicaid Services (CMS)** guidance, the following codes should now be used: - **99492** – Initial psychiatric collaborative care management, first 70 minutes in the first calendar month. - **99493** – Subsequent psychiatric collaborative care management, first 60 minutes in a subsequent month of behavioral health care manager activities. - **G2214** – Initial or subsequent psychiatric collaborative care management, first 30 minutes in a month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified healthcare professional. - **99494** – Initial or subsequent psychiatric collaborative care management, each additional 30 minutes in a calendar month (up to four 30-minute sessions allowed per month). --- ## **Why This Matters** This update ensures alignment with CMS requirements and supports accurate reporting for CoCM services. Providers should review their billing practices and update systems to reflect these changes before the effective date. --- ## **Background** This bulletin serves as an update to the **Sept. 17, 2025** bulletin on Psychiatric Collaborative Care Management coverage. NC Medicaid continues to emphasize integrated behavioral health care and collaborative models to improve patient outcomes. --- ### **Action Steps for Providers** - Discontinue use of **G0512** after **Dec. 31, 2025**. - Begin reporting CoCM services using codes **99492, 99493, 99494, and G2214**. - Ensure billing staff and systems are updated to comply with these changes. --- For more details, visit the official NC Medicaid blog: [https://medicaid.ncdhhs.gov/blog/2025/12/30/updated-coverage-psychiatric-collaborative-care-management-december-30-2025](https://medicaid.ncdhhs.gov/blog/2025/12/30/updated-coverage-psychiatric-collaborative-care-management-december-30-2025) [Read More](https://go.northwestahec.wakehealth.edu/practicesupport/nc-medicaid-updates-coverage-for-psychiatric-collaborative-care-management) ## [Collaborative Care Management Capacity Building Fund](https://go.northwestahec.wakehealth.edu/practicesupport/collaborative-care-management-capacity-building-fund) Mar 26, 2025, 8:00:00 AM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team) posted in [behavioral health](https://go.northwestahec.wakehealth.edu/practicesupport/topic/behavioral-health), [CoCM](https://go.northwestahec.wakehealth.edu/practicesupport/topic/cocm), [funding](https://go.northwestahec.wakehealth.edu/practicesupport/topic/funding) [0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/collaborative-care-management-capacity-building-fund#comments-listing) ![CoCM group of logos](https://go.northwestahec.wakehealth.edu/hs-fs/hubfs/CoCM%20group%20of%20logos.png?width=500&height=196&name=CoCM%20group%20of%20logos.png) Collaborative Care Management (CoCM) Capacity Building Fund APPLICATIONS OPEN APRIL 1 FOR PHASE 2 Applications remain open for Phase 1 | The NC General Assembly has earmarked $5 million for capacity building for Medicaid-enrolled primary care practices across the state to adopt Collaborative Care Management (CoCM). The NCDHHS Division of Mental Health, Developmental Disabilities, and Substance Use Services (DMHDDSUS) is contracting with Community Care of North Carolina (CCNC) to manage the program in partnership with North Carolina Area Health Education Centers Practice Support coaching. CoCM is an evidence-based behavioral health integration model designed to support primary care clinicians in assessing and treating patients with mild to moderate behavioral health conditions. An evidence-based model shown to be more effective than usual care, CoCM improves patient outcomes, increases satisfaction for both patients and providers, and reduces healthcare costs and the stigma related to mental health and substance use disorders.  A primary care practice entity applying on behalf of multiple primary care practice sites may receive a maximum of three awards per entity. **Phase 1:** Each clinic site may be eligible to receive awards of $50,000 to begin a CoCM model in-house. **Phase 2:** Additionally, $30,000 is available for practices to expand an existing in-house CoCM model and $20,000 is available to practice sites meeting Phase 1 eligibility, but planning to outsource staffing to a third-party, turn-key CoCM company. **Phase 2 application process will open on April 1, 2025 and Phase 1 will remain open.** For more information about this program, visit [CCNC's webpage on CoCM capacity building fund](https://www.communitycarenc.org/newsroom/cocm-capacity-building-fund-application/components). And, to see past recordings and slides on CoCM Capacity Building Fund webinars, click [here](https://trk.cp20.com/click/enkn-2wujf8-vrhdmf-cr6s4q82/).   | | --- |   [Read More](https://go.northwestahec.wakehealth.edu/practicesupport/collaborative-care-management-capacity-building-fund) ## [Medicaid Managed Care | Nov 2024 Fireside Chat](https://go.northwestahec.wakehealth.edu/practicesupport/medicaid-managed-care-nov-2024-fireside-chat) Nov 6, 2024, 9:21:37 AM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team) posted in [Medicaid Managed Care](https://go.northwestahec.wakehealth.edu/practicesupport/topic/medicaid-managed-care), [collaborative care](https://go.northwestahec.wakehealth.edu/practicesupport/topic/collaborative-care), [CoCM](https://go.northwestahec.wakehealth.edu/practicesupport/topic/cocm), [CAP](https://go.northwestahec.wakehealth.edu/practicesupport/topic/cap), [Hurricane Helene](https://go.northwestahec.wakehealth.edu/practicesupport/topic/hurricane-helene) [0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/medicaid-managed-care-nov-2024-fireside-chat#comments-listing) ![NCAHEC](https://go.northwestahec.wakehealth.edu/hs-fs/hubfs/NCAHEC.png?width=300&height=132&name=NCAHEC.png) **Medicaid Managed Care Fireside Chat** [Read More](https://go.northwestahec.wakehealth.edu/practicesupport/medicaid-managed-care-nov-2024-fireside-chat) ## [In case you missed it...Updates from last week](https://go.northwestahec.wakehealth.edu/practicesupport/julyupdates) Jul 9, 2024, 8:45:00 AM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team) posted in [Medicaid Managed Care](https://go.northwestahec.wakehealth.edu/practicesupport/topic/medicaid-managed-care), [Primary Care](https://go.northwestahec.wakehealth.edu/practicesupport/topic/primary-care), [behavioral health](https://go.northwestahec.wakehealth.edu/practicesupport/topic/behavioral-health), [anxiety](https://go.northwestahec.wakehealth.edu/practicesupport/topic/anxiety), [depression](https://go.northwestahec.wakehealth.edu/practicesupport/topic/depression), [CoCM](https://go.northwestahec.wakehealth.edu/practicesupport/topic/cocm) [0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/julyupdates#comments-listing)   [Read More](https://go.northwestahec.wakehealth.edu/practicesupport/julyupdates) ## [New modules available in the Collaborative Care Model (CoCM) Training Series](https://go.northwestahec.wakehealth.edu/practicesupport/new-modules-available-in-the-collaborative-care-model-cocm-training-series) Jul 3, 2024, 2:07:00 PM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team) posted in [Medicaid Managed Care](https://go.northwestahec.wakehealth.edu/practicesupport/topic/medicaid-managed-care), [Primary Care](https://go.northwestahec.wakehealth.edu/practicesupport/topic/primary-care), [behavioral health](https://go.northwestahec.wakehealth.edu/practicesupport/topic/behavioral-health), [anxiety](https://go.northwestahec.wakehealth.edu/practicesupport/topic/anxiety), [depression](https://go.northwestahec.wakehealth.edu/practicesupport/topic/depression), [CoCM](https://go.northwestahec.wakehealth.edu/practicesupport/topic/cocm) [0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/new-modules-available-in-the-collaborative-care-model-cocm-training-series#comments-listing) ![nc ahec logo](https://go.northwestahec.wakehealth.edu/hs-fs/hubfs/nc%20ahec%20logo.png?width=1024&height=449&name=nc%20ahec%20logo.png) ![CoCM AHEC](https://go.northwestahec.wakehealth.edu/hs-fs/hubfs/CoCM%20AHEC.png?width=2095&height=1548&name=CoCM%20AHEC.png) [Read More](https://go.northwestahec.wakehealth.edu/practicesupport/new-modules-available-in-the-collaborative-care-model-cocm-training-series) ## [NC Medicaid Quality Improvement Priorities](https://go.northwestahec.wakehealth.edu/practicesupport/nc-medicaid-quality-improvement-priorities) May 1, 2024, 10:58:00 AM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team) posted in [Medicaid Managed Care](https://go.northwestahec.wakehealth.edu/practicesupport/topic/medicaid-managed-care), [Quality Improvement](https://go.northwestahec.wakehealth.edu/practicesupport/topic/quality-improvement), [OB/GYN](https://go.northwestahec.wakehealth.edu/practicesupport/topic/ob-gyn), [Pediatrics](https://go.northwestahec.wakehealth.edu/practicesupport/topic/pediatrics), [care management](https://go.northwestahec.wakehealth.edu/practicesupport/topic/care-management), [collaborative care](https://go.northwestahec.wakehealth.edu/practicesupport/topic/collaborative-care), [CoCM](https://go.northwestahec.wakehealth.edu/practicesupport/topic/cocm) [0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/nc-medicaid-quality-improvement-priorities#comments-listing) The NC Medicaid 2024 Quality Symposium (save the date: October 2, 2024 \[registration information to come\]) will highlight three topics that coincide with NC Medicaid quality improvement priorities. The presenters will share the quality improvement initiatives they have implemented to improve outcomes for Medicaid members. Below are the details for each presentation, including presentation title, presentation date, presenter and registration link. Click on each registration link to learn more and register. [Read More](https://go.northwestahec.wakehealth.edu/practicesupport/nc-medicaid-quality-improvement-priorities) [All posts](https://go.northwestahec.wakehealth.edu/practicesupport/all) This is a search field with an auto-suggest feature attached. - There are no suggestions because the search field is empty. ### Practice Support Services Health care practices in North Carolina face many challenges. Our team of quality improvement coaches (QICs) have skills and expertise to support you in your transformation efforts. To learn more about [Practice Support Click Here](https://school.wakehealth.edu/Education-and-Training/Continuing-Professional-Education/Northwest-AHEC/Practice-Support-Services) Apply for practice support services - **[submit an email inquiry](mailto:practicesupport@ncahec.net)** ### Subscribe to Blog Updates ### Additional Resources: [![Tip Sheets](https://no-cache.hubspot.com/cta/default/7413846/3250b519-7b04-46c8-8a05-c761461c996f.png)](https://cta-redirect.hubspot.com/cta/redirect/7413846/3250b519-7b04-46c8-8a05-c761461c996f) [![Lib Guides](https://no-cache.hubspot.com/cta/default/7413846/a0754bf6-f1f0-475d-bbf4-17bea63ef9c1.png)](https://cta-redirect.hubspot.com/cta/redirect/7413846/a0754bf6-f1f0-475d-bbf4-17bea63ef9c1) [![Interactive Resource Guides](https://no-cache.hubspot.com/cta/default/7413846/84d3d6ee-36ec-4b91-9ec2-410c87e1fefc.png)](https://cta-redirect.hubspot.com/cta/redirect/7413846/84d3d6ee-36ec-4b91-9ec2-410c87e1fefc) [![Digital Library](https://no-cache.hubspot.com/cta/default/7413846/36614b2e-461f-444c-b2a9-08ee8a5f03c1.png)](https://cta-redirect.hubspot.com/cta/redirect/7413846/36614b2e-461f-444c-b2a9-08ee8a5f03c1) [![Join email list](https://no-cache.hubspot.com/cta/default/7413846/d2ffefd9-3e10-48ff-95be-d9cd6d269bd2.png)](https://cta-redirect.hubspot.com/cta/redirect/7413846/d2ffefd9-3e10-48ff-95be-d9cd6d269bd2) Connect With Us: ### Posts by Topic - 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Check Out These Recent Posts # About Us The Northwest Area Health Education Center of Wake Forest University School of Medicine provides and supports educational activities and services with a focus on primary care in rural communities and those with less access to resources to recruit, train and retain the workforce needed to create a healthy North Carolina. 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