With support from the Commonwealth Fund, the National Association of Community Health Centers (NACHC) conducted a qualitative study examining how leading health centers implement behavioral health integration and the policy environments shaping these efforts. The study included interviews with leaders from ten high-performing health centers from July to December 2025 and six national policy experts (January to February 2026) with experience in Medicaid policy, payment reform, and community-based health care delivery.
This report reflects the current frameworks and strategies health centers deploy to expand integrated behavioral health access and policy recommendation that promote the integration of behavioral health and community based primary care.