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The Massachusetts Department of Public Health (DPH) is committed to the integrated delivery of health care through alignment of outpatient primary care, substance abuse services, and mental health care services.  The Integration Initiative builds upon the successes of our state’s health care reform work and the numerous efforts to increase access to patient-centered medical homes.

With the support and input of allies and partners such as the Massachusetts League of Community Health Centers and the Association for Behavioral Health, DPH has formed an Integration Initiative Committee (IIC) to help identify and, whenever possible, overcome any potential barriers to health care integration in the licensing process.  The IIC will assist outpatient primary care, mental health, or substance abuse providers that propose to add one or more of these services.  The IIC will review the integration proposal, customize a process that best suits each provider, and streamline the application process.

In addition to the licensure process, providers may also encounter reimbursement complexities which will be beyond the purview of this effort. In those cases we will work with providers to identify these issues and to direct you towards the appropriate procedures to ensure successful integration.

This initiative is part of the Office of Health Planning in the Commissioner’s Office and is overseen by Associate Commissioner Madeleine Biondilillo, MD.

Integration Intent Form

Please use the Integration Intent Form to communicate to DPH the proposed integrated delivery of any two or more of the following outpatient services: primary care, substance abuse services, and/or mental health care services.  An integration proposal may include both continuation of currently integrated care or the addition of new services.

Frequently Asked Questions

Please visit the Integration Initiative's Frequently Asked Questions page.

History of the Integration Initiative

This effort was developed through collaborative work between the DPH Commissioner’s Office, Bureau of Health Care Safety and Quality, Bureau of Substance Abuse Services, and Office of General Counsel. Prior to the formation of the Integration Initiative Committee, the Department analyzed and compared DPH regulations governing licensure of clinics and licensure of substance abuse programs. We distinguished between licensure requirements set out in federal and state statute – such as those regarding confidentiality and the rights of people with disabilities – and those where there was the opportunity for flexibility and adaptation. It soon became clear that there are numerous opportunities to remove barriers and reduce the red tape involved in applying for or amending a license.


This information is provided by the Bureau of Substance Abuse Services within the Department of Public Health.