Table 1 Core components to GBOT implementation

1) Consistent application of expectations

 Group expectations set through contracts and ground rules

 Low tolerance for inappropriate patient behaviors

 Low tolerance for substances of abuse (illicit and prescribed)

2) Team-based approach (medical assistant, front desk, nurse, B/N provider, psychologist)

3) Creating a safe and confidential space

4) Billing

 Primary Care Provider

  99213 if no individual appt. or

  99214 if individual appt

 Behavioral Health Provider

  90853 for group psychotherapy or 96153 for health behavior code

5) Regular monitoring through drug screens and PDMP

6) Regular attendance and participation in groups