The federal confidentiality rules in 42 CFR Part 2 would not apply to primary care health homes in most cases because they do not normally meet the definition of a “program” (i.e., substance abuse treatment is not their principal practice) and do not hold themselves out as providers of alcohol and drug abuse treatment services:
Further, while the term “general medical care facility” is not defined in the definitions section of 42 CFR 2.11, hospitals, trauma centers, or federally qualified health centers would generally be considered “general medical care” facilities. Therefore, primary care providers who work in such facilities would only meet Part 2’s definition of a program if 1) they work in an identified unit within such general medical care facility that holds itself out as providing, and provides, alcohol or drug abuse diagnosis, treatment or referral for treatment, or 2) the primary function of the provider is alcohol or drug abuse diagnosis, treatment or referral for treatment and they are identified as providers of such services. [Source: http://www.samhsa.gov/about/laws/SAMHSA_42CFRPART2FAQII_Revised.pdf.]
Of course, the lines in some cases are not clear, and any agency in question should seek legal counsel.
MARK STRINGER
Director
Division of Comprehensive Psychiatric Services
Division of Alcohol & Drug Abuse
Department of Mental Health
1706 E. Elm St.
Jefferson City, MO 65101
Phone (573) 751-9499
Fax (573) 751-7814
Mark.Stringer@dmh.mo.gov
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Connection to internet (wired or wireless)
Must have Javascript enabled
Tested browsers
- Chrome
- Firefox
- IE (versions 8 and 9)
Also tested on 10 inch tablets (e.g. Samsung Galaxy Tab 10.1 and Apple iPad)
Note: Currently IE 7 is not supported. When displaying the site in that browser a colored border obscures the outer edges of the page.
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CHCs participating in the Missouri Primary Care Health Home Initiative will receive $30,000 in one time funding to cover the costs associated with start-up for the implementation of SBIRT
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Absolutely. Anyone with authorization to your patients' on eSBIRT can complete the process.
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If you see a pink or other color border around eSBIRT.org while using
Internet Explorer you will need to view the site in the compatibility mode.
Turning ON the compatibility view
Click on the unhighlighted compatibility view button in the IE address bar

Turning OFF the compatibility view
Click on the highlighted compatibility view button in the IE address bar

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The local ID number is whatever number you use to uniquely identify this patient in your EMR. It may be called a case number or patient ID. What is important is that this number is used to identify the patient each time they are admitted/seen by your site.
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To prevent unnecessary duplicate data entry, the PHQ2 is no longer entered in eSBIRT.
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DSS will not offset the funding on the cost report due to originating from a federal agency (Susan received e-mail confirmation from DSS)
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