The impact of billing/reimbursement structures on the integration of aSBI into primary care practice: implementation experiences at five different types of clinics

Background The purpose of the Screen-All Project was to promote adoption of alcohol SBI (aSBI) in five primary care clinics within the University of Nevada School of Medicine Health System (System). Prior to this project, no formal aSBI activities were being conducted in these clinics or within the System. The five clinics included in the project provide healthcare services to adult men and women, including those at risk for alcohol-exposed pregnancies (e.g. women of reproductive age; college students). Two of the five clinics have non-Medicaid/Medicare/insurance funding sources for providing services, whereas three of the five clinics have Medicaid/Medicare/insurance funding sources. The objective is to determine how billing/reimbursement impacts implementation of aSBI.