About Us

Biography - Frank P. James, MD, JD, FACLM, DFASAM

JamesFrank-wwwDr. James is board certified in General, Child & Adolescent and Forensic Psychiatry by the American Board of Psychiatry and Neurology. Additionally, Dr. James is Certified in Addiction Medicine by the American Board of Addiction Medicine and by the American Board of Preventive Medicine.

He leads Behavioral Health Services Consulting, a company dedicated to improving reimbursement and supporting evidence-based treatment for substance use disorders. Dr. James is a nationally recognized expert on Substance Use Disorders (SUDs) treatment, specifically Opioid Use Disorder (OUD). He has a strong track record of supporting Health Plans, Managed Care Organizations (MCOs), health care companies, pharmacies and critical stakeholders.

In addition to his consulting work, Dr. James is an active leader within the American Society of Addiction Medicine (ASAM). Currently, he is Chair of the Payor Relations Committee and National Board Member, Director at Large. He serves as a member on the Legislative Advocacy Committee, and Public Policy Coordinating Council. He assisted in the development of ASAM’s Public Policy on Hepatitis C treatment, including recommendations for integrating Hepatitis C treatment in SUDs treatment programs. He also served on the Finance Committee.

Dr. James has made significant contribution to the development of the ASAM Patient – Centered Opioid Addiction Treatment (P-COAT), an Alternative Payment Model (APM) in response to the increased rate of OUD. As a member of the ASAM Education Criteria Planning Committee, Dr. James is leading the development and presentation of seminars to SUDs providers and payors on the ASAM Criteria and its application as a benefit guideline for placement, treatment and reimbursement for OUD.

From 2011 – 2019, Dr. James served multiple leadership roles within United HealthCare and Optum. Most recently he was the Behavioral Medical Director for Case Management. Dr. James was the leading SUDs and OUD Subject Matter Expert in the development of Urine Drug Test (UDT) policy for United HealthCare. He led Optum’s implementation of ASAM Criteria as the benefit guidelines now used nationally for all commercial and public sector books of business.

Dr. James earned his Law and Medical Degrees at Southern Illinois University. Dr. James is a member of both the Ohio and Illinois Bar. He is a Veteran of the United States Army, having completed his Internship and Residency in General Psychiatry at Walter Reed Army Medical Center, and Fellowships in Child and Adolescent Psychiatry at The Children’s Hospital of Philadelphia and Forensic Psychiatry at the University of Cincinnati School of Medicine.

Dr. James spent his early career providing inpatient and outpatient psychiatric services in underserved areas in West Virginia and The Ohio Valley. He developed specialty clinics in ADHD, Bipolar Disorder and Schizophrenia. Most notable, from 2008 -2010, Dr. James developed and ran an OUD outpatient service from his hospital-based clinic focused on the integration of group therapy, psychotropic medication management and Medication Assisted Treatment (MAT).

Disclosure of Interests and Affiliations