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-icon fa fa-external-link” aria-hidden=”true”/> to provide standardized data elements and technical specifications to improve the state of behavioral health data exchange across care settings. The pilot projects will test the USCDI+ BH dataset and the FHIR® BH IG to assess behavioral health data exchange in real world settings across the country.
Pilots Selected
The testing will not only improve the standards and technical specifications of the USCDI+ BH dataset but will also provide vital information about providers’ implementation experience as well as legal and policy considerations for the broader provider community. Pilot participants represent 45 exchange partners across Colorado, Connecticut, Delaware, Florida, Massachusetts, North Carolina, Oregon, Rhode Island, and Washington, DC. Along with technical assistance, ASTP/ONC and SAMHSA will provide funds ranging from $300,000 to $690,000 to implement innovative, community-driven projects that test the USCDI+ BH dataset and FHIR® BH IG, and support improved behavioral health information exchange over the next year.
The pilot projects will identify effective practices and opportunities that can support improved behavioral health data exchange for patients and providers. This includes care coordination, federal and state reporting, patient access and consent, and consent management for entities covered by federal requirements for the confidentiality of substance use disorder patient records (42 C.F.R. Part 2).
Many pilot projects also are leveraging health information exchanges as infrastructure for data sharing, and two are exploring innovative uses of artificial intelligence alongside the use of USCDI+ BH data elements. Importantly, these pilot projects include participants at varying levels of health IT maturity, increasing the likelihood that the solutions developed can scale across diverse provider types and settings.
Looking Ahead
the pilot projects have already begun the initial phase of their work, and will be complete by the end of 2026. the lessons learned from the pilot projects will inform refinements to the USCDI+ BH data elements and FHIR® BH IG technical specifications. The knowledge gained also will shape the development of the behavioral Health Information Resource – a complete tool that incorporates lessons learned and best practices from the pilots, with a planned release in 2027. Stay tuned for more updates and find the informational resource on our website next year.
These pilot projects represent an important step toward a more interoperable healthcare system that supports integrated behavioral and physical health care. By testing standardized data exchange in real-world settings across the country, we’re building the foundation for scaled adoption that