HIPAA compliant, BAA available

Measurement-Based Care for Missouri Mental Health Teams

For certified community behavioural health clinics, MO HealthNet providers, group practices and solo clinicians from St. Louis to the Bootheel. Send the PHQ-9 and other validated scales by email or QR code, see each one scored on submission, and follow every client's scores from intake through the six-month mark on Missouri's list of CCBHC value-based measures. US customer data stays in Google Cloud US regions.

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HIPAA compliant, BAA available
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100+
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$25
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Missouri Lists Six-Month Depression Remission Among Its CCBHC Payment Measures

  • Missouri's Certified Community Behavioral Health Clinic demonstration, which the Department of Mental Health (DMH) says began on 1 July 2017 and ran through 30 September 2025, left the state with certified clinics that DMH says serve all 114 counties. Each clinic is paid through a prospective payment system and can earn a value-based payment on top: a clinic that meets the statewide target for a measure, or improves its own result by at least 2% on the previous period, is paid 3% of its overall Medicaid expenditures for that period, including managed care.

    One of the value-based measures DMH lists is Depression Remission at Six Months (DEP-REM-6). A client aged 12 or older with major depression or dysthymia enters the measure with a PHQ-9 or PHQ-9M score above nine, and the measure asks how many reach remission about six months later (plus or minus 60 days). The calendar year 2026 targets, revised on 15 June 2026, mark DEP-REM-6 as reported for the first time or needing supplemental data, with a target to be set after one year. Clinics also report depression screening with a follow-up plan for adults and for young people aged 12 to 17.

    Six-month remission can only be counted if the same scale is given at the start and again later, with dates attached. HiBoop sends the PHQ-9 by email or QR code, scores it on submission and puts every result on one chart per client, with CSV and PDF exports for your own quality reporting. It does not calculate DEP-REM-6 for you or send data to DMH or a health plan.

  • Depression Remission at Six Months

    A value-based measure for Missouri CCBHCs, anchored on a PHQ-9 or PHQ-9M score above nine

  • A 3% Value-Based Payment

    Paid when a clinic meets the statewide target for a measure or improves its own result by at least 2%

  • Screening With a Follow-Up Plan

    Clinic-collected depression screening for adults and for 12 to 17 year olds, with the tool's name recorded

All regions

What HiBoop Does for Missouri Care Teams

  • Missouri pays its community clinics partly on measured results and keeps its own rules on records held by DMH-funded and DMH-licensed programs. HiBoop collects and charts the scores; deciding what they mean for a client stays with your clinicians.

  • A PHQ-9 Before the First Session

    Send the PHQ-9 with the intake paperwork so the score, and the date it was given, is already in the record when the client arrives. A score above nine is the starting point the six-month remission measure uses.

  • Reminders Near the Six-Month Mark

    Schedule the PHQ-9 to go out again during care and around six months after intake. Each new score lands on the client's chart beside the first one, so the change is in front of you in supervision and informs, rather than replaces, your clinical judgement.

  • Exports for Your Quality Team

    Export score histories as CSV or PDF for your own measure calculations, a treatment plan review or an audit. HiBoop holds the dated scores; your team applies the DEP-REM-6 specifications.

  • Adolescents From Age 12

    DEP-REM-6 and the depression screening measure both start at age 12. HiBoop includes the PHQ-A for adolescent depression, the SCARED for child anxiety and the CRAFFT-2.1 for youth substance use.

  • Substance Use Alongside Mental Health

    CCBHCs also report on substance use treatment. The ASSIST and TAPS sit in the same library as the PHQ-9, GAD-7 and PCL-5 for clients with co-occurring needs.

  • Multi-Site Clinics and Rural Caseloads

    Team and Network plans bring every site and clinician into one account with role-based access. Clients answer on their own phone, which saves a drive in the Ozarks or the northern counties.

Mental health in Missouri

Research data

  • Each figure below links to the source it comes from.

  • 25.7%

    of Missouri adults had any mental illness in the past year (model-based annual average, 2023-2024)

    SAMHSA NSDUH, 2023-2024

  • 19.2%

    of Missourians aged 12 to 17 had a major depressive episode in the past year (annual average, 2023-2024)

    SAMHSA NSDUH, 2023-2024

  • 29.3%

    of Missouri adults received mental health treatment in the past year (2024)

    SAMHSA NSDUH, 2024

  • 5.9%

    of Missouri adults had serious thoughts of suicide in the past year (annual average, 2023-2024)

    SAMHSA NSDUH, 2023-2024

Research from Missouri

  • CCBHCs and hospital use

    A federal evaluation using 2015 to 2019 Medicaid claims compared CCBHC clients with clients of other behavioural health clinics in Missouri, Oklahoma and Pennsylvania; behavioural health emergency visits fell in Pennsylvania and Oklahoma, and no impact on emergency visits was observed in Missouri.

    Brown et al., Psychiatric Services, 2023 PMID 36916061

  • Suicide screening in pediatric primary care

    In interviews with 18 community pediatric primary care clinicians in the St. Louis area, participants agreed with universal suicide screening from age 12 but named time, training and access to follow-up care as barriers.

    Plax et al., Journal of Primary Care & Community Health, 2024 PMID 39161239

  • ACE screening in prenatal care

    In a review of 144 pregnant patients at an obstetrics clinic in northeast Missouri with an ACE screening program, 34.7% had a score of three or more, and referrals for those scoring four or more rose 300% between early 2021 and early 2022.

    Fatima et al., Journal of Child & Adolescent Trauma, 2026 PMID 42179399

  • Telehealth access in rural Missouri

    Through the Missouri Telehealth Network, 7,981 mobile hotspots went to federally qualified health centers and community mental health centers, and clinic surveys in 2021 recorded an average of about 5,916 video visits a month using them.

    Ogundele et al., Missouri Medicine, 2023 PMID 37609461

Where Measurement Fits in Missouri's System

  • HiBoop is independent of these agencies and programs and does not connect to state or health plan systems. This is the context your clinic leadership and payers will already know.

  • CCBHC Value-Based Payments

    Calendar year 2026

    DMH's Division of Behavioral Health reports the measures by calendar year and uses a tiered target approach now that the demonstration has ended. The 2026 list includes follow-up after hospitalization for adults and youth, initiation and engagement of substance use treatment, all-cause readmissions, glycemic status, time to services and Depression Remission at Six Months.

    DEP-REM-6Tiered targets3% payment

  • Certified Community Behavioral Health Clinics

    Statewide

    DMH says its certified clinics serve all 114 counties, and its list of certified clinics (revised 27 July 2026) names 20, each tied to one or more numbered service areas. The state rule for these clinics is 9 CSR 30-6.010, alongside the federal CCBHC criteria, and the clinics collect the clinic-led measures, such as time to services and six-month remission, themselves.

    9 CSR 30-6.010Service areasProspective payment

  • MO HealthNet

    Medicaid

    Missouri's Medicaid program runs managed care through Healthy Blue, UnitedHealthcare and Home State Health, with Show Me Healthy Kids for children in state care, and each plan must offer the same services, behavioural health and substance use services among them. The Behavioral Health Services Provider Manual accepts codes G8431 and G8510 for depression screening from age 12, limited to once a year (four times with the TH modifier during or after pregnancy), billed by physicians, physician assistants, APRNs and pharmacists.

    Managed careG8431 and G8510Ages 12 and up

  • Licensed Professionals

    Professional Registration

    Committees within the Division of Professional Registration license Missouri's professional counsellors, social workers, marital and family therapists and psychologists. MO HealthNet enrols LPCs and provisional LPCs, LCSWs and LMSWs, LMFTs and provisional LMFTs, and psychologists, and a clinician treating Missouri patients by telemedicine must be fully licensed in Missouri.

    LPC and LCSWLMFTPsychologists

Care Teams Across Missouri

  • HiBoop runs in a browser, so a clinic in Kansas City and a satellite office in the Bootheel use the same check-ins. Each line names CCBHCs that the DMH list places in the area.

  • St. Louis

    BJC Behavioral Health, Places for People and Betty Jean Kerr People's Health Center are certified clinics serving St. Louis City, with BJC also covering St. Louis County.

  • Kansas City

    In Jackson County, Swope Health Services, ReDiscover and University Health Behavioral Health are certified clinics, and Beacon Mental Health Services covers Platte, Clay and Ray counties.

  • Springfield and the Southwest

    Burrell Behavioral Health is based in Springfield, Ozark Center in Joplin serves Barton, Jasper, Newton and McDonald, and Clark Community Mental Health Center serves Dade, Lawrence and Barry.

  • The Bootheel and Southeast

    Bootheel Behavioral Health serves Stoddard, Scott, Mississippi and New Madrid, Community Counseling Center is based in Cape Girardeau, and FCC Behavioral Health in Kennett serves seven counties including Dunklin and Pemiscot.

  • Northeast Missouri

    Mark Twain Association for Mental Health in Hannibal serves nine counties from Schuyler to Marion, and East Central Missouri Behavioral Health in Mexico serves Audrain, Callaway and four neighbouring counties.

  • Northwest and North Central

    Family Guidance Center in St. Joseph serves nine northwest counties, and North Central Missouri Mental Health Center in Trenton serves nine more, from Harrison to Linn.

  • The South Central Ozarks

    Ozarks Healthcare Behavioral Health Center in West Plains serves Wright, Texas, Shannon, Douglas, Ozark, Howell and Oregon counties, where check-ins by email or QR code between visits save clients long drives.

Data sovereignty

Why Missouri clinics choose HiBoop

  • Why Missouri Clinics Choose HiBoop

    • Scores are stored with the date given, which a six-month window depends on
    • HIPAA compliant with a BAA for covered entities, and SOC 2 Type II certified
    • US customer data in Google Cloud US regions, encrypted in transit and at rest
    • Each view and export of client data is logged, so you can document who saw a record
    • Care is $25/month for one clinician, month to month, with no credit card to start

  • USD pricing & support

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

    Care
    One clinician, billed monthly
    $25
    USD/month
    Team
    From this price, any number of clinicians
    $200
    USD/month
    Network
    For multi-site clinics and networks
    Custom
    Enterprise pricing

100+ validated scales for Missouri 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.

  • Depression and Suicide Risk

    • PHQ-9 (Depression)
    • C-SSRS Screener (Suicide Risk)

  • Anxiety, Trauma and Substance Use

    • GAD-7 (Anxiety)
    • PCL-5 (PTSD)
    • ASSIST (Substance Involvement)
    • TAPS (Tobacco, Alcohol and Other Substances)

  • Young People From Age 12

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

Missouri Mental Health Records and Consent

  • HIPAA sets the federal floor. Missouri adds its own confidentiality statute for records kept by programs that DMH operates, funds or licenses, and its general consent law decides who may agree to a minor's care. Neither certifies software; the duties sit with your organization, and HiBoop's role is to support them.

  • What Missouri law asks

    • Keep confidential the records of a residential facility or mental health program operated, funded or licensed by DMH, for voluntary and involuntary clients alike (RSMo 630.140.1)
    • Record the dates, nature, purposes and recipients of each disclosure of those records (RSMo 630.140.4)
    • Know who may consent for a minor: under RSMo 431.061, a minor may consent on their own behalf for drug or substance use treatment, while the section does not list mental health, where a parent or guardian with custody may consent
    • Keep HIPAA's safeguards and breach notification duties, with a business associate agreement in place for each vendor that handles protected health information

  • What HiBoop provides

    • An access log of each view and export of client data, to support your own disclosure records
    • A business associate agreement for HIPAA covered entities
    • Role-based access, so a youth worker or a billing clerk sees only what the role allows
    • SOC 2 Type II certification and US hosting in Google Cloud, with the details on our trust page

  • Taking HiBoop to your compliance committee?

    The trust page sets out hosting, encryption, access logging and our SOC 2 Type II report. Ask us for a BAA or for help with a vendor security review.

    Visit the trust centre

Grants & funding for Missouri mental health clinics

Funding Guide

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

  • 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

  • CMS Innovation Center (CMMI)

    ACCESS Model — Behavioral Health Track

    Tech eligible

    The Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) model includes a Behavioral Health Track for practices treating depression and anxiety. It shifts from fee-for-service to monthly payments tied to outcomes — explicitly requiring technology-enabled care and outcome measurement.

    Enhanced per-patient paymentsLearn more
View all grants & funding

Resources for Missouri practitioners

  • Billing guides, compliance documentation, and clinical practice resources.

  • CCBHCMeasurement for CCBHCs

    How certified community behavioural health clinics use repeated scales for their quality measures

  • DepressionPHQ-9 Clinical Guide

    Scoring, severity bands and what a score above nine means

  • AdolescentsPHQ-A Guide

    The PHQ-9 reworded for adolescents, with the same nine items and 0 to 27 range

  • LibraryFull Assessment Library

    Every scale HiBoop describes, each with its validation references

Missouri Policy, Privacy and Licensing 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 Missouri require the PHQ-9?

    Not for every provider. For certified community behavioural health clinics, the Depression Remission at Six Months measure starts from a PHQ-9 or PHQ-9M score above nine, and DMH lists it among the value-based payment measures; its 2026 target is still to be set. The depression screening measure accepts any age-appropriate standardized tool, as long as its name is recorded. Outside CCBHCs, we found no Missouri rule that requires a particular scale, so check your health plan contracts.

  • Can HiBoop calculate DEP-REM-6 for our clinic?

    No. HiBoop sends and scores the PHQ-9 and keeps each result with its date, so your team has the inputs the measure needs. The measure specifications (diagnosis, index date, the six-month window) are applied by your own quality staff, and HiBoop does not submit anything to DMH.

  • Can a 16-year-old consent to counselling without a parent in Missouri?

    Missouri's general consent law, RSMo 431.061, lets a minor consent on their own behalf for drug or substance use treatment, and lets a parent with legal custody consent for a minor child. The section does not mention mental health, so the answer depends on the service and the setting. Confirm with your counsel before you rely on a minor's own consent. HiBoop's role-based access lets you limit who can see a young client's scores.

  • Is HiBoop HIPAA compliant for Missouri practices?

    Yes. HiBoop is HIPAA compliant and signs a business associate agreement with covered entities. If your program is operated, funded or licensed by DMH, RSMo 630.140 also applies to your records, including documenting each disclosure; HiBoop's access log records each view and export inside the platform to help with that.

Official sources for Missouri

  • Billing and payment routes

    1. 1.CMS MLN909432: Behavioral Health Integration Services · public program · codes 99484, 99492, 99493, 99494, G2214, G0323 (read in the document on 2026-11-01)
    2. 2.CMS Physician Fee Schedule look-up · fee schedule
    3. 3.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.SAMHSA: NSDUH state reports
    2. 2.HRSA: HPSA Find (mental health shortage areas)
    3. 3.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.