On August 5, 2020, the Centers for Medicare and Medicaid Services (CMS) and the Substance Abuse and Mental Health Services Administration (SAMHSA) announced that Michigan and Kentucky have been selected to participate in the Certified Community Behavioral Health Clinic (CCBHC) demonstration program. There are now 10 states participating in the CCBHC demonstration. The eight initial states are Minnesota, Missouri, New Jersey, New York, Nevada, Oklahoma, Oregon, and Pennsylvania.
The CCBHC demonstration program is a provision of the federal, bipartisan Protecting Access to Medicare Act (PAMA) of 2014. The eight states launched their CCBHC demonstrations in mid-2017 with 67 CCBHC provider organizations that had 372 locations in 190 counties. The expansion to include two additional states in the demonstration was mandated in the Coronavirus Aid, Relief, and Economic Security (CARES) Act passed in March 2020.
CCBHCs provide a comprehensive range of evidence-based behavioral health services directly or through referral to designated collaborating organizations (DCOs). The CCBHCs receive Medicaid payment through a daily or monthly Prospective Payment System (PPS) rate that is clinic-specific and reimburses the expected cost of demonstration services. The CCBHC clinics must provide access to person- and family-centered services for individuals with serious mental illness or addiction, including opioid disorders; children and adolescents with serious emotional disturbance; and individuals with co-occurring disorders. All clinic users must be served, not just Medicaid beneficiaries, and the clinics cannot refuse services due to an individual’s place of residence or ability to pay, and they must accept payment on a sliding fee scale basis. During the demonstration, states receive enhanced Medicaid matching funds for the CCBH services provided to Medicaid beneficiaries.
This was reported by Medicaid.gov on August 5, 2020.
Contact information: Substance Abuse and Mental Health Services Administration, 5600 Fishers Lane, Rockville, Maryland 20857; 877-726-4727; Website: https://www.samhsa.gov/section-223
Contact information: Michigan Department of Health and Human Services, Post Office Box 30195, Lansing, Michigan 48909; Website: https://www.michigan.gov/
Contact information: Kentucky Cabinet for Health and Family Services, 275 East Main Street, Frankfort, Kentucky 40621; Website: https://chfs.ky.gov/