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Behavioral Health Integration

Scaling Behavioral Health Across 400+ Facilities with ThoroughCare

May 11th, 2026 | 5 min. read

Kathryn Anderton, BSN, RN, BC-RN, CCM

Kathryn Anderton, BSN, RN, BC-RN, CCM

Vice President of Clinical Operations, ThoroughCare

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Behavioral health challenges in long-term care facilities continue to grow, while access to psychiatric providers remains limited. For healthcare organizations managing complex patient populations, scaling behavioral health services requires more than just clinical expertise. It demands the right workflows, reporting infrastructure, compliance tracking, and care coordination technology.

That’s exactly what Lumina Care accomplished through its partnership with ThoroughCare.

By implementing the Collaborative Care Model (CoCM) and Behavioral Health Integration (BHI) programs powered by ThoroughCare, Lumina Care successfully expanded behavioral health services to more than 400 facilities and over 22,000 patients while improving care planning, compliance monitoring, and reimbursement processes.

Addressing the Growing Need for Behavioral Health Services in Long-Term Care

One of the biggest challenges facing Lumina Care's facility partners was limited access to psychiatric providers.

Facilities needed scalable behavioral healthcare solutions capable of supporting residents with conditions such as:

  • Anxiety
  • Depression
  • Alzheimer’s disease
  • Dementia
  • Schizophrenia
  • Bipolar disorder

To address these challenges, Lumina Care launched a Collaborative Care Model and Behavioral Health Integration initiative designed specifically for long-term care populations.

The organization partnered with ThoroughCare to operationalize and scale the program efficiently.

Building a Scalable Collaborative Care Model with ThoroughCare

Using the ThoroughCare care management platform, Lumina Care developed structured workflows and customized care plans tailored to behavioral health populations in skilled nursing and long-term care settings.

ThoroughCare enabled the organization to standardize care planning while ensuring individualized patient support.

Customized Behavioral Health Care Plans

ThoroughCare care plans were specifically designed around the needs of residents experiencing complex mental and behavioral health conditions.

Clinical teams could:

  • Track behavioral symptoms
  • Monitor medication usage
  • Identify opportunities for gradual dose reduction
  • Evaluate talk therapy opportunities
  • Coordinate ongoing behavioral health interventions

This structured approach helped ensure consistency across hundreds of facilities while still supporting personalized patient care.

SMART Goals Improve Resident Outcomes

An important part of the program involved creating SMART goals for residents.

These goals were designed to be:

  • Specific
  • Measurable
  • Achievable
  • Realistic
  • Time-sensitive

By incorporating measurable behavioral health objectives into care management workflows, facilities could better monitor progress and drive improved outcomes for residents.

SMART goal tracking also improved accountability and collaboration among interdisciplinary care teams.

Scaling Behavioral Health Integration to Hundreds of Facilities

The results were significant.

Lumina Care successfully expanded:

  • Collaborative Care Model services to approximately 350 facilities
  • Behavioral Health Integration services to more than 400 facilities

This rapid adoption reflected strong demand among facility partners seeking behavioral healthcare support for underserved patient populations.

Facilities recognized the value of:

  • Enhanced psychiatric care coordination
  • Improved behavioral health workflows
  • Better documentation and compliance processes
  • More efficient reimbursement support

Improving Compliance with PHQ-9 and GAD-7 Tracking

Behavioral health programs require consistent documentation and compliance monitoring.

ThoroughCare helped Lumina Care implement standardized processes for:

  • PHQ-9 depression assessments
  • GAD-7 anxiety screenings
  • Eligibility identification
  • Compliance tracking
  • Population health reporting

The platform enabled teams to ensure screenings and assessments were completed consistently across facilities, reducing gaps in documentation and improving program oversight.

Streamlining Behavioral Health Billing and Reimbursement

One of the most important operational benefits involved reimbursement optimization.

According to Lumina Care leadership, ThoroughCare developed reporting and analytical tools that helped:

  • Identify eligible patient populations
  • Track compliance requirements
  • Capture billable activities
  • Support appropriate coding workflows
  • Improve behavioral health reimbursement accuracy

This level of billing support was essential for scaling the Collaborative Care Model and Behavioral Health Integration programs sustainably.

For healthcare organizations pursuing value-based care initiatives, accurate documentation and reimbursement processes are critical components of long-term program success.

Why Technology Is Essential for Behavioral Health Integration

Behavioral health programs are becoming increasingly important in value-based care environments, especially within long-term care and post-acute care settings.

However, scaling these initiatives without centralized care management technology creates operational challenges, including:

  • Fragmented documentation
  • Inconsistent screening workflows
  • Limited reporting visibility
  • Billing inefficiencies
  • Difficulty coordinating interdisciplinary care teams

Platforms like ThoroughCare help healthcare organizations overcome these barriers by integrating care coordination, analytics, compliance tracking, and reimbursement workflows into a single solution.

Final Thoughts

Lumina Care’s success demonstrates how healthcare organizations can scale behavioral health services effectively when clinical expertise is paired with purpose-built care management technology.

Through its partnership with ThoroughCare, Lumina Care expanded behavioral health access across hundreds of facilities while improving:

  • Care coordination
  • Behavioral health documentation
  • Compliance monitoring
  • Patient engagement
  • Reimbursement workflows
  • Clinical outcomes

As behavioral health needs continue to rise nationwide, scalable Collaborative Care Model and Behavioral Health Integration programs will play a major role in the future of long-term care delivery.


FAQ

What is Behavioral Health Integration (BHI)?

Behavioral Health Integration is a care model that combines behavioral healthcare services with primary or long-term care management to improve patient outcomes and care coordination.

What is the Collaborative Care Model (CoCM)?

The Collaborative Care Model is an evidence-based approach that integrates behavioral health providers, care managers, and physicians to support patients with mental health conditions through coordinated care plans and ongoing monitoring.

How does ThoroughCare support behavioral health programs?

ThoroughCare provides care management software that supports behavioral health workflows, customized care plans, PHQ-9 and GAD-7 tracking, analytics, reporting, compliance monitoring, and reimbursement management.

What behavioral health conditions were addressed in Lumina Care’s program?

The program supported residents with anxiety, depression, Alzheimer’s disease, dementia, schizophrenia, bipolar disorder, and other behavioral health conditions.

Why are PHQ-9 and GAD-7 assessments important?

PHQ-9 and GAD-7 assessments help healthcare organizations measure depression and anxiety symptoms consistently while supporting compliance and reimbursement requirements for behavioral health programs.