The Collaborative Care Model (CoCM) allows care practices to treat behavioral health conditions in-house using a team-based model. A treating provider, a behavioral health care manager, and a consulting psychiatrist share responsibility for a defined caseload of patients, tracked as a population rather than one chart at a time. Treatment is guided by repeated validated assessments and adjusted when scores show a patient is not improving. These services help practices extend behavioral health capacity without adding a psychiatrist to every visit, improve treatment outcomes through consistent measurement, and provide reimbursement opportunities for the time spent managing care.

Once CoCM is enabled for a practice, users can enroll a patient by navigating to their chart's "Care Management" tab.

From here, the "Enroll" button can be used to add the patient to the CoCM program, allowing users to log time, document a Care Plan, and generate claims for that patient. Once enrolled, a "CoCM Enrolled" flag will automatically be added to the patient's record, and the enrollment and consent are written to your practice's Audits table.

The enrollment modal includes a "Patient Eligible for Initial Month Billing" checkbox, which is selected by default. For patients who do not qualify for the initial-month code, such as a patient transferring in who already completed an initial month with another practice, uncheck the field so that the system automatically skips to the 99493 code instead of the initial 99492 code.

To associate a patient's behavioral health conditions with the program, open the "Conditions" modal and select CoCM alongside any other applicable programs. Those conditions will then appear as problems on the CoCM care plan.

Note: If you are bringing an existing CoCM caseload into ThoroughCare, the patient CSV import supports CoCM enrollment date, CoCM care manager name, program eligibility, and initial month billing eligibility. Contact Support for the current import template.

The CoCM model is built around three roles: the CoCM Care Manager, the CoCM Provider, and the Psychiatric Consult.

The Care Manager is the behavioral health care manager who works the caseload day to day. The Provider is the treating provider who directs care and bills for the service. The Psychiatric Consult is the consulting psychiatrist who reviews cases and recommends treatment adjustments, and appears directly below Provider in the care team list.

CoCM also appears on the Care Plan Report. Selecting "CoCM" under Programs in the "Select Report Details" modal will include CoCM problems and care plan documentation, upcoming CoCM interactions, and CoCM consent on the generated report.

The CoCM Registry is a dedicated worklist where the care team can manage the full caseload from a single screen. To access it, open "Worklists" and select "CoCM."

Each row displays the patient's identifying information, flags, risk level, CoCM care team, enrollment status and duration, CoCM conditions, assessment scores and trends, clinical review, monthly provider sign-off, interaction history, and logged time against goal. The patient column and header remain frozen as you scroll. Selecting any cell opens the corresponding modal, so flags, risk, care team, enrollment, conditions, interactions, and time logging can all be handled without leaving the list.

Three tabs organize the caseload. "All Patients" displays the full list. "Needs Psych Consult" displays patients whose psychiatric consultant has completed the clinical review and who are still awaiting provider sign-off for the month. "New Enrollments" displays patients with an active enrollment that began in the selected month.

In addition to the standard worklist filters, CoCM includes a "CoCM Minutes" filter with separate "Enter Minimum" and "Enter Maximum" fields, and a "Provider Sign-Off" filter with the values All, Signed, and No Sign-Off Performed. Completing one minutes field filters on that bound alone, and completing both filters to an inclusive range. Exports to CSV and PDF reflect the active tab and any applied filters.

The practice dashboard includes a CoCM section that follows the month currently being viewed. It groups enrolled patients into buckets based on the CoCM minutes logged for that month, so the team can see at a glance where the caseload stands against billing thresholds.

The buckets are Enrolled, 70+ Mins (Initial Month), 60+ Mins (Subsequent Month), 30–59 Mins, 1–29 Mins, 0 Mins, and Not Enrolled. Counts are color-coded so the month-end picture reads quickly: patients at or above a billable threshold appear in green, patients in the partial bands appear in orange, and unworked or unenrolled patients appear in black.

ThoroughCare generates CoCM claims automatically from logged time. Claims carry the date of service of the time log that met the threshold, the CoCM provider, and a note identifying the code, month, year, and billable minutes.

ThoroughCare supports the following CoCM CPT codes:

ThoroughCare distinguishes the initial month from subsequent months and protects the initial-month code. A patient who enrolls in one month but does not receive billable CoCM service until a later month will still generate the initial-month code when that service occurs, rather than defaulting to the subsequent-month code. If a patient disenrolls and later re-enrolls, the new enrollment period is eligible for a fresh initial month.

Notes:

A claim will remain in missing information until a provider sign-off marked as CoCM Review is recorded for that month. If all qualifying time for a month is deleted, the claim is removed.