Primary care providers in the state of Michigan are invited to participate in the program.
Although MC3 is targeted toward primary care providers, psychiatric providers in the state of Michigan can also sign up.
There is no cost for accessing consultation and resources through the program. This program is supported by funds from the Centers for Medicare and Medicaid Services and Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) through the Michigan Department Health and Human Services.
MC3 is not an emergency/referral service. Emergency consultations over the phone or in person are not provided. If a PCP calls about a case requiring an emergency intervention, the Behavioral Health Consultant can offer appropriate resource recommendations.
U of M psychiatrists do not prescribe medication or provide ongoing treatment, but rather support PCPs as they provide care. For those cases beyond the scope of the PCP, the BHC and psychiatrist will offer referrals to local or regional clinicians.
Calls can be initiated by anyone delegated by the prescriber requesting a consultation. A nurse, MA, or social worker can initiate the phone consultation. We do require, however, that when the psychiatrist calls back, that the PCP takes the call. We do not want recommendations to go through a third party.
After the consultation occurs, the BHC in your area will either send via encrypted e-mail or fax a summary of your consultation, as well as any therapy/resources that were recommended.
You can call as often as you like on any patients. The MC3 consulting psychiatrists are able to access previous consultations through a secure web-based platform to review and add to the past consultations.
MC3 offers the ability to schedule a consultation. If there is a particular consulting psychiatrist that you wish to speak with and/or if there is a specific time of day during the week that works better to receive the consult, we can arrange a scheduled consult that best fits your needs.
As a consultation service, MC3 makes recommendations based on the information shared before and during the consultation. These recommendations can be used to develop a treatment plan in the context of the primary care provider’s clinical judgement and experiences with the patient and family, as well as knowledge of community services. Patient names and other identifying information is not exchanged as part of the clinical consultation. Patient initials and date of birth are collected to allow future reference for a repeat consultation about a patient.
We are enrolling some residents from select clinics on a case-by-case basis. Prior to enrollment we will want to plan for the workflow of the consultation should the resident be out of the office and for when the resident leaves the clinic. All supervising physicians must be signed up for MC3 and approve the consultation.
MC3 is a state funded program and does not have the ability to facilitate direct scheduling with behavioral health services at Michigan Medicine.
Patients with behavioral health concerns are already being seen by their primary care practices. In some studies, researchers have found that behavioral health concerns are the reason for up to 25% of pediatric primary care visits. PCPs prescribe 65% of psychotropic medication for youth and access to behavioral health care for families is limited. The risks of not treating behavioral health are high and can impact both short- and long-term outcomes. MC3 psychiatrists are available to offer guidance and will not to pressure you into prescribing anything you are not comfortable with. Often times MC3 psychiatrists are weaning patients off medication and recommending evidence-based therapy in the community.
As part of their participation, providers will be asked to sign a Provider Agreement that outlines the program services and roles of primary care providers and consulting psychiatrists. If you are a provider and would like to enroll, please contact us.