HIPAA compliant, BAA available

Measurement-Based Care for Texas Mental Health Teams

For licensed professional counsellors, marriage and family therapists, social workers, psychologists, clinics and community providers across Texas. Send validated scales by email or QR code, see them scored on submission, and keep every client's scores on one timeline. US customer data stays on Google Cloud in the US.

Schedule a WalkthroughBrowse assessments
HIPAA compliant, BAA available
SOC 2 Type II certified
Hosted on Google Cloud in the US
Scored on submission
100+
validated assessments
BAA
available for HIPAA
SOC 2
Type II certified
$25
a month to start (USD)

How Texas organizes public mental health care

The Texas Health and Human Services Commission (HHSC) contracts with 37 Local Mental Health Authorities (LMHAs) and two Local Behavioral Health Authorities (LBHAs). Each one covers a set of counties, assesses the mental health needs of its area, plans and coordinates services, and runs a 24/7 crisis line.

Most Texans with Medicaid get coverage through STAR managed care, and children's Medicaid, including behavioural health, is delivered mainly through health plans.

All regions

Built Around How Texas Care Teams Work

  • Texas privacy law, Medicaid managed care and the state's licensing boards each shape how outcome data is collected and kept. HiBoop handles the measurement side and leaves the clinical call with you.

  • HIPAA, With Chapter 181 in View

    Texas Health and Safety Code chapter 181 reaches further than HIPAA in who it covers, and adds staff training and electronic-disclosure duties. HiBoop signs a BAA, is SOC 2 Type II certified and keeps US customer data in Google Cloud US regions, so the vendor side of your file is in order.

  • Session-by-Session Tracking

    Send the PHQ-9, GAD-7, PCL-5 or C-SSRS Screener before each session. Scores arrive totalled with severity bands and land on one chart per client, so change across a course of treatment informs your next step.

  • Collaborative Care in Primary Care

    Texas Medicaid lists collaborative care model services among its behavioural health benefits, after S.B. 672 (2021) required HHSC to pay for them. Care managers can run repeat PHQ-9 and GAD-7 check-ins for a primary care caseload and bring the trend to the psychiatric consultant.

  • Clinics, Group Practices and Community Providers

    Team and Network plans give a group practice, clinic or multi-site provider one place for every clinician's caseload, with role-based access so staff see only what their role allows.

  • One Published Price List

    Care is $25/month for one clinician, month to month. Team starts at $200/month with unlimited clinicians. Network is custom. One price list in US dollars, published on our pricing page.

  • Records Clients Can Take With Them

    Chapter 181 gives clients a right to their electronic health record within 15 business days of a written request. HiBoop exports a client's score history as a PDF or CSV, so the outcome part of that request is a few clicks.

Research from Texas

  • Measurement-based care for youth

    A chart review across Texas Youth Depression and Suicide Research Network sites found standardized depression measures in 71.2% and anxiety measures in 64% of reviewed visits, while standardized measures of medication adherence and side effects were each used in under 6%.

    Slater et al., Child Psychiatry Hum Dev, 2025 PMID 38340213

  • Measurement-based care in primary care

    In the VitalSign6 project led from UT Southwestern in Dallas, 17.3% of the first 25,000 patients screened in 16 primary care clinics screened positive for depression, and remission among those started on measurement-based pharmacotherapy was 20.3%, 31.6% and 41.7% with 1, 2, and 3 or more follow-up visits.

    Jha et al., Ann Fam Med, 2019 PMID 31285210

  • Depression screening

    Among 11,803 uninsured patients seen in nine community-based clinics, in a study by UT Southwestern and other Texas researchers, 67% had a depression screener recorded and 24% had a depression diagnosis, but more than half of those diagnosed had no recorded treatment plan.

    Rezaeizadeh et al., Int J Clin Health Psychol, 2021 PMID 33981346

  • PHQ-9 in routine care

    In 116 veterans with spinal cord injury or dysfunction who completed the PHQ-2 and PHQ-9 at a routine annual evaluation, in a study from Houston's Michael E. DeBakey VA Medical Center and Baylor College of Medicine, a PHQ-2 cut-off of 3 had 83.3% sensitivity and 97.8% specificity for a PHQ-9 score of 10 or more.

    Poritz et al., J Spinal Cord Med, 2018 PMID 28355958

Where Measurement Fits in the Texas System

  • HiBoop is independent of these programs and does not connect to their systems. This is the landscape your clients, referrers and contracts already sit in.

  • Local Mental Health and Behavioral Health Authorities

    HHSC

    HHSC contracts with 37 LMHAs and two LBHAs, each responsible for planning and coordinating mental health services in its counties and for providing treatment and referrals.

    37 LMHAs2 LBHAs24/7 crisis lines

  • Medicaid Managed Care: STAR, STAR+PLUS, STAR Kids and STAR Health

    Texas Medicaid

    STAR covers low-income children, pregnant women and families. STAR+PLUS covers adults with a disability or aged 65 and older, including behavioural health care. STAR Kids serves children and youth 20 and younger with disabilities, and STAR Health, run by one statewide plan, gives children in state conservatorship integrated physical and behavioural health care.

    Health plan networksService coordinationBehavioural health benefits

  • Texas Certified Community Behavioral Health Clinics

    T-CCBHC

    HHSC certifies Texas CCBHCs under its own rules (26 TAC chapter 306, subchapter C), and its Directed Payment Program for Behavioral Health Services pays community mental health centres and LBHAs in a way that encourages the CCBHC model. HiBoop covers the self-report scales such a clinic runs between visits.

    State certificationCommunity mental health centresDPP BHS

  • Texas Child Mental Health Care Consortium

    Children and youth

    Funded by the Texas Legislature and run through 12 health-related institutions, the consortium's TCHATT program connects PreK to grade 12 students with licensed clinicians by telehealth through school referrals, and CPAN gives clinicians who see young patients rapid psychiatric consultation. Practices receiving those referrals can follow up with the PHQ-A, SCARED or CRAFFT-2.1.

    TCHATTCPAN12 health-related institutions

Supporting Care Teams Across Texas

  • HiBoop runs in the browser, so check-ins reach clients in the office, by video or hundreds of miles away.

  • Houston and the Gulf Coast

    Home to the John S. Dunn Behavioral Sciences Center, a psychiatric hospital and learning centre run by HHSC with UTHealth Houston.

  • Dallas-Fort Worth

    UT Southwestern Medical Center operates the state-owned Texas Behavioral Health Center, a psychiatric hospital, in partnership with HHSC.

  • Austin and Central Texas

    Austin State Hospital and the Waco Center for Youth are part of the HHSC state hospital system serving Central Texas.

  • San Antonio and the Hill Country

    San Antonio State Hospital and Kerrville State Hospital are both HHSC state hospitals in this part of the state.

  • El Paso and West Texas

    The El Paso Psychiatric Center provides adult psychiatric services to far West Texas; email and QR check-ins cover the long distances in between.

  • Rio Grande Valley

    Rio Grande State Center in Harlingen runs adult inpatient psychiatric care and an adult outpatient clinic.

  • Rural Texas and the Panhandle

    From Amarillo and Lubbock to small county seats, TCHATT and CPAN already reach schools and clinicians by telehealth, and HiBoop works the same way.

Data sovereignty

Why Texas clinics choose HiBoop

  • Outcome Tracking for Texas Practices

    • A BAA and the SOC 2 Type II report on request, before you sign anything
    • Scales sent by email or QR code and totalled with severity bands on submission
    • Library groups for primary care, community follow-up, trauma and youth work
    • Care is $25/month, month to month, with no credit card to start
    • One score is a snapshot; the same scale every few sessions shows direction, so every result sits on one timeline

  • USD pricing & support

    Transparent pricing in USD with flexible payment options for clinics of every size.

    Care
    One clinician, month to month
    $25
    USD/month
    Team
    Starting price, unlimited clinicians
    $200
    USD/month
    Network
    Multi-site organizations
    Custom
    Enterprise pricing

100+ validated scales for Texas clinics

  • Validated scales grouped by what they measure, each with its scoring and source. Public programmes often call this routine outcome monitoring (ROM), or patient-reported outcome measures (PROMs): the same practice of giving a validated scale at regular points and reading the scores over time.

  • Primary Care and Collaborative Care

    • PHQ-9 (Depression)
    • GAD-7 (Anxiety)
    • PHQ-15 (Somatic Symptoms)
    • MDQ (Bipolar Screen)

  • Community and Crisis Follow-Up

    • C-SSRS Screener (Suicide Risk)
    • DASS-21 (Depression, Anxiety, Stress)
    • OCI-R (Obsessive-Compulsive)

  • Trauma and Foster Care

    • PCL-5 (PTSD)
    • PC-PTSD-5 (PTSD Screen)
    • ACE (Adverse Childhood Experiences)
    • ITQ (Complex PTSD)

  • Children and Youth

    • PHQ-A (Adolescent Depression)
    • SCARED (Child Anxiety)
    • CRAFFT-2.1 (Youth Substance Use)
Browse all assessments

Texas Medical Records Privacy and Your Outcome Data

  • Chapter 181 of the Texas Health and Safety Code sits on top of HIPAA. Its definition of a covered entity is wider than HIPAA's, reaching anyone who collects, stores or transmits protected health information, and it adds duties of its own. There is no certification for it; the duties sit with each covered entity, and the right vendor makes them easier to meet.

  • What Chapter 181 asks of covered entities

    • Train staff on state and federal health privacy law within 90 days of hire, and again within a year of a material change in that law (s.181.101)
    • Keep each employee's signed training statement for six years (s.181.101(d))
    • Give a client their electronic health record within 15 business days of a written request, where your system can produce it (s.181.102)
    • Post notice that health information may be disclosed electronically, and get authorization for each electronic disclosure outside treatment, payment and health care operations (s.181.154)

  • What HiBoop does

    • Signs a Business Associate Agreement and complies with HIPAA
    • Hosts US customer data on Google Cloud in the US, encrypted in transit and at rest
    • Logs each view and export of client data, with role-based access controls
    • Is SOC 2 Type II certified, with the report available on request

  • Need a BAA or our security documentation?

    Texas practices often ask a vendor for its security controls and a BAA before signing. Our trust page covers hosting, encryption, access controls and SOC 2 Type II.

    Visit the trust centre

Grants & funding for Texas mental health clinics

Funding Guide

  • Public and private funding programs that support measurement-based care implementation.

  • Texas Health and Human Services Commission (HHSC)

    SB 1903 — Mental Health Technology Enhancement Grant

    Tech eligible

    Texas SB 1903 established one of the few state grants explicitly targeting mental health EHR and technology adoption. Mental health practices historically excluded from federal Meaningful Use/HITECH incentives are the primary target population. If your practice was locked out of federal EHR incentives, this is the direct path.

    VariesLearn more

  • SAMHSA — Substance Abuse and Mental Health Services Administration

    Certified Community Behavioral Health Clinic (CCBHC) Expansion Grants

    Tech eligible

    SAMHSA’s CCBHC grants fund detailed behavioral health services including the infrastructure, staffing, and technology required to meet CCBHC standards. Outcome measurement and digital assessment platforms are explicitly eligible as required infrastructure for CCBHC certification.

    $1M–$5M/yearLearn more

  • SAMHSA

    Mental Health Block Grant (MHBG)

    Tech eligible

    States receive federal MHBG funds and redistribute them to community mental health organizations. Technology, quality improvement, and workforce development are eligible uses. Contact your state mental health authority to understand how MHBG flows in your state.

    State-distributedLearn more

  • SAMHSA

    Primary and Behavioral Health Care Integration (PIPBHC)

    Tech eligible

    SAMHSA’s PIPBHC program funds integration of primary and behavioral health care, including the technology infrastructure needed to coordinate care across disciplines. Outcome measurement platforms and digital assessment tools are eligible as integration infrastructure.

    $500K–$900K/yearLearn more

  • HRSA — Health Resources and Services Administration

    Rural Health Network Development Program

    Tech eligible

    HRSA funds rural health networks to develop shared infrastructure including technology platforms, telehealth systems, and outcome measurement tools. Mental health-focused networks in rural areas can use this to fund shared digital assessment and measurement platforms.

    $250K–$500K/yearLearn more

  • HRSA

    Behavioral Health Workforce Development Program

    Tech eligible

    Supports expanding the behavioral health workforce through training, clinical placements, and technology-supported care delivery. Technology platforms that support supervision, measurement, and case management are eligible uses.

    $250K–$1MLearn more
View all grants & funding

Resources for Texas practitioners

Texas Privacy, Licensing and Program Resources

Latest in mental health in California

Crisis and urgent help lines

More crisis lines

Measurement-based care

…starts with what we measure, and how long.

Frequently Asked Questions

  • Does HiBoop meet the Texas Medical Records Privacy Act?

    There is no certification under chapter 181 of the Texas Health and Safety Code. Its duties, such as staff training within 90 days of hire, signed training records kept for six years and notice of electronic disclosure, sit with each covered entity, and the Act's definition is wide enough to reach practices and vendors alike. HiBoop's part is the vendor side, set out control by control on our trust page.

  • Which Texas professionals is HiBoop built for?

    Licensed Professional Counselors (LPCs), licensed marriage and family therapists, psychologists and social workers, whose boards sit under the Behavioral Health Executive Council, plus the psychiatrists, primary care physicians and physician assistants licensed by the Texas Medical Board. Clinics, group practices and community providers use it to run check-ins across a caseload.

  • Can providers in Texas Medicaid plans use HiBoop?

    Yes. HiBoop is used by individual clinicians and organizations, not billed to Medicaid, so it sits alongside whichever STAR, STAR+PLUS, STAR Kids or STAR Health plans you contract with. It does not submit claims or connect to plan systems. Check each plan contract for the specific measures it names.

  • Does HiBoop work with LMHAs or Texas CCBHCs?

    HiBoop is independent of HHSC and does not connect to state systems. Local authorities, certified clinics and the providers that work with them can use it to send validated self-report scales such as the PHQ-9, GAD-7, PCL-5 and C-SSRS Screener and see each client's trend. Any state-required intake or level-of-care instrument is outside HiBoop's library and stays where you run it today.

Official sources for Texas

  • Billing and payment routes

    1. 1.TMHP: Texas Medicaid fee schedules and provider manual · fee schedule
    2. 2.CMS MLN909432: Behavioral Health Integration Services · public program · codes 99484, 99492, 99493, 99494, G2214, G0323 (read in the document on 2026-11-01)
    3. 3.CMS Physician Fee Schedule look-up · fee schedule
    4. 4.SAMHSA: Certified Community Behavioral Health Clinics (CCBHC) · public program

    Fee codes and amounts are set by each payer and change; check the linked schedule before you bill. HiBoop does not submit claims.

    Regulators and licensing

    1. 1.ASPPB: psychology licensing boards · psychologists
    2. 2.ASWB: social work regulatory boards · social workers
    3. 3.Counseling Compact · counsellors
    4. 4.Social Work Licensure Compact · social workers

    Data and statistics

    1. 1.Texas DSHS Center for Health Statistics
    2. 2.SAMHSA: NSDUH state reports
    3. 3.HRSA: HPSA Find (mental health shortage areas)
    4. 4.NIMH: mental illness statistics

    Listed for reference so you can find the official source. HiBoop is not affiliated with, and is not endorsed by, any of these organizations.