Measurement-Based Care for Rhode Island Mental Health Teams
For community behavioural health organizations, integrated primary care practices and private clinicians from Woonsocket to Westerly. As Rhode Island builds Certified Community Behavioral Health Clinics around standard screening and outcome measures, HiBoop sends validated scales by email or QR code, scores them on submission and charts each client's change. US customer data stays in Google Cloud US regions.
Rhode Island Is Building Clinics That Measure
In June 2024, Rhode Island was one of ten states selected for the federal Certified Community Behavioral Health Clinic (CCBHC) demonstration, after receiving a one-year planning grant. State law, R.I. Gen. Laws 40.1-8.5-8, directs the Executive Office of Health and Human Services to pay CCBHCs through a monthly bundled payment based on each organization's expected costs, and has BHDDH set added certification criteria, including screening, assessment and diagnosis with risk assessments.
The federal criteria these clinics follow require standardized, validated and developmentally appropriate screening and assessment tools, and they encourage measurement-based care. Among the quality measures CCBHCs report are depression screening with a follow-up plan and depression remission at six months. Separately, BHDDH's licensing rules for behavioural healthcare organizations already use the Daily Living Assessment of Functioning (DLA) to decide who qualifies for integrated health homes and assertive community treatment.
Depression remission at six months can only be counted if the same scale is given at the start and again later. HiBoop sends the PHQ-9, GAD-7 and C-SSRS Screener, scores them on submission and keeps each client's results on one chart, with CSV and PDF exports for your own reporting. HiBoop does not administer the DLA and does not report to BHDDH or EOHHS.
CCBHC Demonstration State
Selected in June 2024, with a monthly bundled payment set in state law
Depression Remission at Six Months
One of the federal CCBHC quality measures, alongside screening with a follow-up plan
Integrated Primary Care
OHIC's Affordability Standards point practices to CTC-RI's integrated behavioural health standards
What HiBoop Does for Rhode Island Care Teams
Rhode Island pairs a new clinic model with strict consent rules for health information. HiBoop takes care of the scales and the scoring, and every clinical decision stays with your team.
Ready for Six-Month Remission
Send the PHQ-9 at intake and on a schedule after it, and each score lands on the client's chart. When it is time to look at depression remission at six months, the baseline and the follow-up are already there.
Screening With a Follow-Up Plan
A positive PHQ-9 can lead straight into the C-SSRS Screener from the same library, so your clinician can begin a follow-up plan in the same visit. The scores inform clinical judgement and do not make the decision.
Check-Ins Between Visits
Clients answer on their own phone from an email link or a QR code. A 2012 Providence study found clients preferred completing a depression scale online to paper in the office.
Integrated Primary Care
For practices working to CTC-RI's integrated behavioural health standards, the PHQ-9 and GAD-7 can go out before a primary care visit and be scored before the clinician walks in.
Clinics, Health Homes and Networks
Team and Network plans give a multi-site organization one account for every program, with role-based access so staff see only the caseloads their role permits.
Exports You Control
Pull a CSV or PDF of any client's scores when a treatment plan is reviewed, a records request arrives or a funder asks for measures.
Mental health in Rhode Island
Research data
Each figure below links to the source it comes from.
25.8%
of Rhode Island adults had any mental illness in the past year (model-based annual average, 2023-2024)
30.4%
of Rhode Island adults received mental health treatment in the past year (2024)
16.9%
of Rhode Islanders aged 12 to 17 had a major depressive episode in the past year (annual average, 2023-2024)
Research from Rhode Island
PHQ-9 and remission
In the Rhode Island MIDAS project, 153 depressed outpatients in routine practice completed three self-report scales; remission rates differed between scales, with 31% in remission on the PHQ-9 against 35% on the clinician-rated Hamilton scale.
Zimmerman et al., Journal of Clinical Psychiatry, 2017 PMID 28234434
Online outcome monitoring
In the same Rhode Island project, 53 depressed outpatients completed a depression scale both online and on paper; scores were highly correlated, and patients preferred the online version to paper in the office.
Zimmerman and Martinez, Journal of Clinical Psychiatry, 2012 PMID 22154899
Outcomes in a partial hospital program
At Rhode Island Hospital's partial hospital program, 207 patients treated by telehealth in 2020 reported symptom and functioning improvements comparable to 207 treated in person a year earlier, and more of them completed treatment (72.9% against 62.3%).
Zimmerman et al., Journal of Clinical Psychiatry, 2021 PMID 33989463
Pediatric integrated behavioural health
A program report from the Care Transformation Collaborative of Rhode Island and PCMH-Kids describes moving pediatric practices to an integrated behavioural health model that removed financial risk from the practice after smaller practices could not sustain the earlier one.
Cantor et al., Rhode Island Medical Journal, 2026 PMID 42048470
The Rhode Island System Around Your Practice
HiBoop is not affiliated with these agencies or programs and does not connect to state systems. This is the context your licensing, funding and payer conversations will refer to.
Certified Community Behavioral Health Clinics
DemonstrationRhode Island was selected for the federal CCBHC demonstration in June 2024. State law pays CCBHCs through a monthly bundled payment tied to each organization's costs and asks BHDDH to certify clinics that provide outpatient mental health and substance use care, 24-hour mobile crisis response, and screening, assessment and diagnosis with risk assessment.
Monthly bundled paymentMobile crisisFederal criteriaBHDDH Licensing Rules
In effectThe Rules and Regulations for Behavioral Healthcare Organizations, amended effective 1 January 2024, use the Daily Living Assessment of Functioning (DLA) for program eligibility: a score above 3.0 up to 5.0 for an integrated health home, below 3.0 for assertive community treatment. Health homes must collect data on individual-level clinical outcomes.
DLAHealth homesACTOHIC Affordability Standards
Commercial insurersThe Office of the Health Insurance Commissioner's standards, effective 20 March 2025, aim for better integration of behavioural health into primary care and set a spending obligation for primary care and behavioural health. A qualifying integrated practice meets standards developed by the Care Transformation Collaborative of Rhode Island.
OHICCTC-RIPrimary careLicensing Boards at RIDOH
Department of HealthMental health counsellors and marriage and family therapists, social workers and psychologists are each licensed through boards within the Rhode Island Department of Health. Telemedicine by behavioural health providers must be paid at rates no lower than the same service in person, and audio-only care counts as telemedicine.
LMHC and LMFTLICSWTelemedicine parity
Care Teams Around Rhode Island
HiBoop runs in a browser, so a Providence clinic and a clinician on Block Island use the same check-ins.
Providence
The state capital and its largest city, at the head of Narragansett Bay.
Pawtucket and the Blackstone Valley
The river corridor that begins at Slater Mill in Pawtucket and runs north toward Massachusetts.
Woonsocket and Northern Rhode Island
The northern mill city on the Blackstone River, with walk-in intake at its community behavioural health clinic.
Kent County
Warwick, Coventry and East Greenwich, the county seat, with a certified community behavioural health clinic serving the county.
Newport and Aquidneck Island
Portsmouth, Middletown and Newport, home to the state's first federally certified community behavioural health clinic.
South County
Washington County, which Rhode Islanders call South County, from North Kingstown down to Westerly.
Block Island
The town of New Shoreham, about 9 miles off the mainland, where a check-in from home saves a ferry trip.
Data sovereignty
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Hosted in the United States
HiBoop runs on Google Cloud, and US customers' data is hosted in Google Cloud US regions. These are Google's regions in the United States. Google Cloud locations
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us-west4
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Why Rhode Island clinics choose HiBoop
Why Rhode Island Teams Use HiBoop
- US-region Google Cloud hosting for US accounts, with client data encrypted wherever it rests or travels
- Independent SOC 2 Type II certification and a BAA for covered entities
- Permissions follow each user's role, and every view and export is logged
- Care is $25/month, month to month, and you can begin without a credit card
- No app for clients to install: a link by email or a QR code at the desk is enough
USD pricing & support
Transparent pricing in USD with flexible payment options for clinics of every size.
CareOne clinician, no contract$25USD/monthTeamEntry price, clinicians unlimited$200USD/monthNetworkTailored to multi-site organizationsCustomEnterprise pricing
100+ validated scales for Rhode Island 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, Anxiety and Suicide Risk
- PHQ-9 (Depression)
- GAD-7 (Generalized Anxiety)
- C-SSRS Screener (Suicide Risk)
Substance Use and Trauma
- ASSIST (Substance Involvement)
- TAPS (Tobacco, Alcohol, Drugs)
- PCL-5 (PTSD Symptoms)
Children and Teens
- PHQ-A (Adolescent Depression)
- SCARED (Child and Teen Anxiety)
- CRAFFT-2.1 (Youth Substance Use)
Rhode Island Health Information and Consent
HIPAA is the federal minimum. Rhode Island's Confidentiality of Health Care Communications and Information Act asks for written consent before most releases, and its newer data privacy law sets HIPAA entities aside. These laws do not certify software; meeting them is your organization's job, and HiBoop provides tooling that supports it.
What Rhode Island law asks
- Release a client's confidential health care information only with their written consent, outside the exceptions the law lists; knowing violations can be fined up to $5,000 each (R.I. Gen. Laws 5-37.3-4)
- Keep confidential the information and records compiled while providing services under the state's mental health law (R.I. Gen. Laws 40.1-5-26)
- When a young person seeking substance use treatment refuses parental contact and a qualified professional judges it unhelpful or harmful, non-invasive outpatient treatment may proceed without parental consent, while continuing to seek the young person's permission to involve a parent (R.I. Gen. Laws 14-5-4)
- Note that the Data Transparency and Privacy Protection Act, in effect from 1 January 2026, does not apply to HIPAA covered entities or business associates, and exempts protected health information (R.I. Gen. Laws 6-48.1)
What HiBoop provides
- A BAA for each covered entity, so written-consent workflows stay yours
- No disclosure without your action: scores are shared only through exports your staff run
- An audit log of views and exports, and access set by role
- Our SOC 2 Type II report and security details, available for your review
Assessing HiBoop's security?
Before you sign, the trust page lets your compliance lead check hosting, encryption, access controls and our SOC 2 Type II certification. Ask us for a BAA or help with a questionnaire.
Grants & funding for Rhode Island mental health clinics
Funding Guide
Public and private funding programs that support measurement-based care implementation.
- Tech eligible
SAMHSA — Substance Abuse and Mental Health Services Administration
Certified Community Behavioral Health Clinic (CCBHC) Expansion Grants
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 - Tech eligible
SAMHSA
Mental Health Block Grant (MHBG)
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 - Tech eligible
SAMHSA
Primary and Behavioral Health Care Integration (PIPBHC)
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 - Tech eligible
HRSA — Health Resources and Services Administration
Rural Health Network Development Program
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 - Tech eligible
HRSA
Behavioral Health Workforce Development Program
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 - Tech eligible
CMS Innovation Center (CMMI)
ACCESS Model — Behavioral Health Track
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
Resources for Rhode Island practitioners
Billing guides, compliance documentation, and clinical practice resources.
- CCBHCMeasurement for CCBHCs
How the certified clinic model uses screening and outcome measures
- DepressionPHQ-9 Clinical Guide
Severity bands, item 9 and how remission is defined
- BillingCPT 96127 for Screening
Reporting a standardized behavioural screen, one unit per scale
- LibraryAll HiBoop Assessments
Every scale in the library, each with its validation references
Rhode Island Law, Regulation and CCBHC Resources
Official bodies, clinical guidelines, and regulatory references. Rhode Island.
- CCBHC Demonstration Application 2026
SAMHSA
Lists the ten states, Rhode Island among them, selected for the CCBHC demonstration in June 2024.
- R.I. Gen. Laws 40.1-8.5-8: Certified community behavioral health clinics
Rhode Island General Assembly
The monthly bundled payment and the services BHDDH requires of certified clinics.
- 212-RICR-10-10-01: Behavioral Healthcare Organizations
Rhode Island Secretary of State
BHDDH licensing rules, including DLA eligibility for integrated health homes and ACT.
- 230-RICR-20-30-4: Affordability Standards
Office of the Health Insurance Commissioner
Integrated behavioural health in primary care and the related spending obligation.
- R.I. Gen. Laws 5-37.3-4: Confidentiality of health care information
Rhode Island General Assembly
Written consent for releases of confidential health care information, and penalties.
- Data Transparency and Privacy Protection Act
Rhode Island General Assembly
Rhode Island's consumer privacy law from 2026, with its HIPAA exemptions.
- R.I. Gen. Laws 27-81-4: Telemedicine coverage
Rhode Island General Assembly
Payment parity for behavioural health telemedicine, including audio-only care.
- CCBHC Certification Criteria, interim draft (2023 criteria, revised August 2025)
SAMHSA
The federal criteria on standardized screening tools, measurement-based care and the depression measures.
Latest in mental health in California
Recent news, research, and policy from trusted sources.
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STAT
Crisis and urgent help lines
If someone is in immediate danger, call 911. HiBoop is not a crisis service.
Emergency
For a life-threatening emergency, call emergency services first.
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Measurement-based care
…starts with what we measure, and how long.
Send your first check-in today, with your own assessments and clients. For teams, we set up your assessments and schedules with you. Prefer a guided start? You can book a walkthrough on the next page.
Start- Everything in HiBoop, by workflow, and what shipped lately.Features
- 100+ validated measures, with scoring guides and sources.Assessments
Frequently Asked Questions
Is there a measurement-based care rule in Rhode Island?
Not across the board. We found no Rhode Island statute requiring every clinician to repeat symptom scales. The CCBHC model the state has adopted comes with federal criteria that require standardized screening tools, encourage measurement-based care and include depression remission at six months among the quality measures, and BHDDH's licensing rules use the DLA for health home and ACT eligibility. Check your own license, contract and certification terms for anything more specific.
Can HiBoop help a CCBHC with depression remission at six months?
With the measurement, yes. HiBoop sends the PHQ-9 at intake and at follow-up, scores each response on submission and keeps the series on one chart per client, with CSV export. Your team still applies the measure's specifications and prepares the report; HiBoop does not submit data to the state.
Does HiBoop include the DLA?
No. The Daily Living Assessment of Functioning used in BHDDH's rules is completed by your clinicians outside HiBoop. Teams use HiBoop beside it for client-reported symptom scales such as the PHQ-9 and GAD-7.
Can a young person in Rhode Island get substance use treatment without a parent?
In some cases. Under R.I. Gen. Laws 14-5-4, if a young person seeking substance use treatment refuses permission to contact a parent and a qualified professional judges that contact would not help or would harm, non-invasive, non-custodial treatment may be given without parental consent, while the professional keeps asking permission to involve a parent. For mental health treatment more broadly, ask your counsel. HiBoop's role-based access lets you limit which staff see a young client's scores.
Official sources for Rhode Island
Billing and payment routes
- 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.CMS Physician Fee Schedule look-up · fee schedule
- 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
Listed for reference so you can find the official source. HiBoop is not affiliated with, and is not endorsed by, any of these organizations.