ccbhc demonstration states

On May 20, 2015 the Centers for Medicare & Medicaid Services (CMS) issued guidance to states and clinics on the development of a prospective payment system (PPS) to be tested under the Certified Community Behavioral Health Clinics (CCBHC) 223 Demonstration Program, as required in Protecting Access to Medicare Act (P.L. The CCBHC demonstration aims to improve the behavioral health for all Michiganders by: The CCBHC model requires access to 24/7/365 crisis response services, along with other critical elements including strong financial and quality metric reporting; formal coordination with primary and other care settings to provide intensive care management and transitions of care; linkage to social services, criminal justice/law enforcement, and educational systems. A federal program which helps persons admitted into the U.S. as refugees to become self-sufficient after their arrival. Another notice of funding opportunity to award 15 additional states with planning grants is expected to be posted in Fiscal Year 2024. Information on the Safe Delivery Program, laws, and publications. Information on the Family Independence Program, State Disability Assistance, SSI, Refugee, and other cash assistance. Receive the latest updates from the Secretary, Blogs, and News Releases. Section 223 authorizes the Department of Health and Human Services to: States and clinics should submit their questions about the CCBHC PPS methodologies and requests for technical assistance to:CCBHC-Demonstration@cms.hhs.gov. Learn more about CCBHC governance and oversight. CCBHCs were created through Section 223 of the Protecting Access to Medicare Act of 2014, which established a two-year, eight-state demonstration program based on the Excellence in Mental Health Act.v In October 2015, twenty-four states (see Figure 1) were awarded planning grants to design CCBHC programs. CCBHC Demonstration states would need to select at least one of the options for daily special crisis service rates.2Mobile crisis and crisis stabilization are some of the most expensive services to provide due to the cost of the multidisciplinary provider team, the immediate response requirement, and the supplies and medications necessary to maintain readiness. Information on treatment and services for juvenile offenders, success stories, and more. ) or https:// means youve safely connected to the .gov website. New SAMHSA CCBHC Criteria Will Foster Innovation in Crisis Services Certified Community Behavioral Health Clinic Model Improving Outcomes An official website of the United States government August's mobile food pantry distribution will have plenty of delicious, vitamin-rich produce, including cabbage, sweet corn, watermelon and summer squash. And we promote greater understanding of mental wellbeing as a core component of comprehensive health and health care. Learn more about thefull updateson CMS.gov. The expansion of Certified Community Behavioral Health Clinics is part of President Bidens commitment to expand and strengthen equitable behavioral health for all Americans, said HHS Secretary Xavier Becerra. The National Council for Mental Wellbeing is committed to expanding CCBHCs nationwide, with Medicaid prospective payment available to all CCBHCs. Adult Behavioral Health & Developmental Disability Services. Eight states are currently participating in the demonstration: Michigan, Missouri, Kentucky, Nevada, New Jersey, New York, Oklahoma, and Oregon. 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Section 223 authorized the U.S. Department of Health and Human Services (DHHS) to establish federal criteria for the demonstration program and for clinics to become certified by a state as a Certified Community Behavioral Health Clinic (CCBHC). Overall, the quality of care provided to CCBHC clients was comparable to available benchmarks, and performance on some measures improved over time. Switch to Chrome, Edge, Firefox or Safari. The Demonstration Project (which begins on July 1, 2017, and runs through June 30, 2019) is designed to demonstrate the cost effectiveness of converting Medicaid reimbursement for community behavioral health services from a fee-for-service reimbursement system to a prospective payment system while improving the availability, accessibility, and q. CCBHC Demonstration - State of Michigan Evaluation Of The Eight Original CCBHC Demonstration States Reveals On December 21, 2016HHS announcedthe eight states selected to participate in the section 223 Demonstration Program to Improve Community Mental Health Services. Addition of two new PPS rate options (PPS-3, daily; PPS-4, monthly) which includes a Special Crisis Service rate component. Certification criteria for the CCBHCs have been specified by the Substance Abuse and Mental Health Services Administration covering six core areas: staffing; accessibility; care coordination; scope of services; quality and other reporting; and organizational authority, governance, and accreditation. All the following services must be made available to all individuals, either directly provided by a CCBHC clinic, or through contracted designated collaborating organizations (DCOs): CCBHC services are available to any person in need, including but not limited to those with serious mental illness, serious emotional disturbances, long-term chronic addiction, mild or moderate mental illness, and substance use disorders. Ten of the 15 states that received planning grants will be able to join the CCBHC demonstration program in 2024 after a separate application process. For CCBHC clinic locations and contact information, please navigate to the Consumer Resources link: Consumer Resources. This 2019 report informs the third annual Report to Congress and details highlights participating states CCBHC activities that have been associated with improving access to a comprehensive range of treatment and recovery support services. Visit SAMHSA on Instagram It draws on qualitative findings gathered from interviews at the state level and preliminary data from CCBHCs. Funding and Awards Applications due . States and clinics will find the technical specifications and reporting templates for all of the quality measures included in the demonstration here:https://www.samhsa.gov/section-223/quality-measures. CCBHC clinics are designed to provide a broad array of mental health and substance use disorder services to persons of all ages, regardless of ability to pay, including those who are underserved, have low incomes, have Medicaid, are privately insured or uninsured, and are active-duty military or veterans. The CMS CCBHC cost report and instructions assists states in determining clinic-specific prospective payment system (PPS) rates for demonstration services, using either the PPS-1 or PPS-2 payment methodology allowed by CMS and specified in CCBHC PPS guidance previously issued by CMS. Establish criteria that states will use to certify community behavioral health clinics for a two year demonstration program; Provide guidance on the development of a prospective payment system for payment of CCBHC services provided by certified clinics; For a state participating in the demonstration, provide federal matching funds equivalent to the standard Childrens Health Insurance Program (CHIP) rate for CCBHC services to Medicaid beneficiaries (or the rate available to newly eligible beneficiaries); Award grants to states for planning purposes to develop proposals to participate in the demonstration program; Select up to eight states to participate in the demonstration program; and. The CCBHC demonstration helped states mitigate the effects of the mental health and substance use service workforce shortage by enabling clinics to hire and retain vital staff. SAMHSA Blog. This report also assesses the costs to CCBHCs for providing the required services, and compares the demonstration payment rates to actual costs. SAMHSA's mission is to lead public health and service delivery efforts that promote mental health, prevent substance misuse, and provide treatments and supports to foster recovery while ensuring equitable access and better outcomes. Low-income Households Water Assistance Program (LIHWAP). The T codes are for CCBHCs to bill solely for demonstration encounters while the Q2 modifier can be used for billing service-level data associated with each demonstration encounter. Please also visit the ASPE Behavioral Health page for additional research in this area. Senators Rally Behind Bills to Expand, Extend CCBHC Medicaid Demonstration A .gov website belongs to an official government organization in the United States. Birth, Death, Marriage and Divorce Records. The range of services includes delivery of mental health, addiction, and either screening for general medical conditions or onsite access to primary care during DY1. It also comes on the heels of a recent Government Accountability Office (GAO) report that found CCBHCs are proven to increase the number of individuals receiving care and provide an increased array of services in their communities. The eight states participating in the CCBHC demonstration that started in mid-2017 were Minnesota, Missouri, Nevada, New Jersey, New York, Oklahoma, Oregon, and Pennsylvania. Although the CCBHC demonstration program and Prospective Payment System (PPS) are designed to work within the scope of state Medicaid Plans and to apply specifically to individuals who are Medicaid enrollees, the statute also requires the CCBHCs not to refuse service to any individual on the basis of either ability to pay or place of residence. Certified Community Behavioral Health Clinics Demonstration Program Report to Congress, 2017: This 2017 report is the first of 4 annual Reports to Congress and focuses on the statutory requirements of Section 223 of the Protecting Access to Medicaid Act (PAMA) for 2014 (Public Law 113-93), planning phase of the demonstration, implementation, the planning grants that helped states prepare, and how the eight states (Minnesota, Missouri, Nevada, New Jersey, New York, Oregon, Oklahoma, and Pennsylvania) were selected to participate in the demonstration, including activities associated with launching the demonstration programs. Outpatient clinic primary care screening and monitoring of key health indicators and health risk. Revised Guidance on CCBHC Prospective Payment Methods | FTI The CCBHC demonstration helped states mitigate the effects of the mental health and substance use service workforce shortage by enabling clinics to hire and retain vital staff. On May 12, 2023, the Centers for Medicare and Medicaid Services (CMS) released proposed revisions to the Certified Community Behavioral Health Clinic (CCBHC) Prospective Payment System (PPS) Guidance governing CCBHC programs operating under Section 223 Demonstration authority. See also Table 1 of this report for demonstration start dates by . Visit the SAMHSA Facebook page 5600 Fishers Lane, Rockville, MD 20857 CCBHC Data and Impact That request was approved on August 5, 2020, whenthe federal Coronavirus Aid, Relief, and Economic Security (CARES) Act of 2020 authorized two The state must use the CMS CCBHC cost report Northkey Community Care one of four Kentucky clinics to - NKyTribune SAMHSA releases CCBHC planning grants opportunity for states MDHHS has provided the Flint mobile food pantries since February 2016 in partnership with the Food Bank of Eastern Michigan in Flint. The report describes specific findings related to the topics of access to care and scope of services and describes how states and CCBHCs adapted during the COVID-19 public health emergency. HHS Awards Planning Grants to 15 States for Medicaid-Funded Behavioral Before sharing sensitive information, make sure youre on a federal government site. Indian Health Service, Tribal, Urban (I/T/U), Certified Community Behavioral Health Clinic Service Sheet, Opportunities from the Evolution of Behavioral Health Care, Dispute Advisory & International Arbitration, Information Governance, Privacy & Security, https://www.medicaid.gov/medicaid/financial-management/downloads/ccbh-pps-prop-updates.pdf, https://www.medicaid.gov/federal-policy-guidance/downloads/sho21008.pdf. Likewise, performance on the quality measures varied considerably across CCBHCs and across states, with no discernable patterns of consistently higher or lower performance in certain states. Across states, the amount of QBP funding distributed in DY1 varied, ranging from approximately $500,000 to more than $17,000,000. Chosen from among the planning grant states that submitted applications, these states will begin their demonstrations January 1, 2017 to June 30, 2017. A .gov website belongs to an official government organization in the United States. CCBHCs are transforming behavioral health systems in this country, and we know that the model of care works, said Miriam Delphin-Rittmon, Ph.D., HHS Assistant Secretary for Mental Health and Substance Use and the leader of SAMHSA. The range of services includes delivery of mental health, addiction, and either screening for general medical conditions or onsite access to primary care during DY1. 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"When you look at the CCBHC model and what it requires of clinics and what it requires a state, it really is a very intense and transformative effort," David said. Certified Community Behavioral Health Clinics (CCBHCs) | SAMHSA This report builds on interim evaluation reports, which provide detailed information on implementation progress and the costs and quality of care. These clinics serve anyone who requests care for mental health or substance use, regardless of their ability to pay, and connect people to the care they need.. Results indicated that total costs, visit days/months, and per visit day/month costs increased from DY1 to DY2, but results varied considerably within and across states. The site is secure. Programs for healthy children & families, including immunization, lead poisoning prevention, prenatal smoking cessation, and many others. Child Welfare Medical and Behavioral Health Resources, Prevention and Family Preservation Services. Access technical specifications and templates for collecting and reporting behavioral health quality measures. CCBHC is an integrated community behavioral health model of care that aims to improve service quality and accessibility. PDF Certified Community Behavioral Health Clinics Demonstration Program Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2020 (2021). Our migrant program works with a number of organizations to provide services for Michigans migrant and seasonal farmworkers. The CCBHC planning phase assists states in certifying clinics as CCBHCs, establish prospective payment systems for Medicaid reimbursable services, and prepare an application to participate in a four-year demonstration program. However, there was some room for improvement on several measures. Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2022 (2023). How Do CCBHCs Work? [HTML version also available], Preliminary Cost and Quality Findings from the National Evaluation of the Certified Community Behavioral Health Clinic Demonstration (2020). Michigan's Women, Infants & Children program, providing supplemental nutrition, breastfeeding information, and other resources for healthy mothers & babies. Eight states are currently participating in the demonstration: Michigan, Missouri, Kentucky, Nevada, New Jersey, New York, Oklahoma, and Oregon. Asbury United Methodist Church, 1653 Davison Road. We urge Congress to include the bipartisan Excellence in Mental Health and Addiction Treatment Act of 2021 in the reconciliation package. Called the Excellence in Mental Health and Addiction Treatment Act of 2021, the bipartisan legislation would allow every state to join the CCBHC Medicaid demonstration. This report to Congress report summarizes describes state demonstration oversight and expansion of the CCBHC model since the end of the second demonstration year as well as early implementation experiences of two new states, Kentucky and Michigan, that were added to the demonstration as part of the Coronavirus Aid, Relief, and Economic Security Act (Public Law 116-136). Today, there are more than 500 CCBHCs, in 46 states, the District of Columbia, Guam, and Puerto Rico. This report outlines interim findings from the CCBHC evaluation. CCBHC Demonstration Michigan & Kentucky Now Participating In CCBHC Demonstration States include: Minnesota, Missouri, New York, New Jersey, Nevada, Oklahoma, Oregon and Pennsylvania. These planning grants are the first phase of a two-phase process. The CMS CCBHC Demonstration requires states and their certified sites to provide a robust set of coordinated, integrated, and comprehensive services to all persons with any mental illness or substance use disorder (SUD) diagnosis. PDF Certified Community Behavioral Health Clinics (CCBHCs) and the State Courts Information on communicable & chronic diseases. On June 21, 2016, the Substance Abuse and Mental Health Services Administration (SAMHSA) issued a new set of OMB-approved quality measures, accompanying technical specifications and resource manual, and data reporting templates designed to help states and behavioral health clinics (BHCs) better assess and document their performance and effectiveness in providing treatment to people with substance use and/or mental disorders. We advocate for policies to ensure equitable access to high-quality services. The report also details how the 8 states that were selected to participate in the demonstration are monitoring the CCBHCs for compliance to the certification criteria. The technical specifications for Depression Remission at Six Months (DEP-REM-6) (clinic collected) changed, and the measure would become mandatory. The law extends the duration of the CCBHC demonstrations of the two additional States whose demonstrations recently launched (Kentucky and Michigan) from four to six years. within 4 months of award . The purpose of CCBHC Planning Grants is to support states to develop and implement certification systems for CCBHCs, establish Prospective Payment Systems (PPS) for Medicaid reimbursable services, and prepare an application to participate in a four-year CCBHC Demonstration program. Data shows in the first six months of receiving care, CCBHCs decrease homelessness, decrease the amount of time spent in correctional facilities, decrease the time spent in emergency rooms for behavioral health issues, decrease inpatient hospitalization for mental health treatment and decrease the use of illegal substances.. The Assistant Secretary for Planning and Evaluation (ASPE) is the principal advisor to the Secretary of the U.S. Department of Health and Human Services on policy development, and is responsible for major activities in policy coordination, legislation development, strategic planning, policy research, evaluation, and economic analysis. 200 Independence Avenue, S.W. Information on Safe Sleep for your baby, how to protect your baby's life. For additional information or a free 30-minute technical assistance call, states and CCBHCs can contact us at scott.banken@fticonsulting.com, cindy.ward@fticonsulting.com, or nicole.kaufman@fticonsulting.com. LANSING, Mich. - With 99.8% of lead service lines replaced in the City of Benton Harbor, the state is continuing its all hands-on-deck response to make resources available to residents in the City of Benton Harbor.This includes free home lead inspection and abatement services to help families ensure there are not . The CCBHC demonstration resulted in improved integration of physical care with mental health and substance use treatment, with CCBHC sites in some states exceeding program requirements to offer onsite primary care services. On October 19, 2015, the Substance Abuse and Mental Health Services Administration (SAMHSA), in conjunction with the Centers for Medicare & Medicaid Services (CMS) and the Assistant Secretary of Planning and Evaluation (ASPE), awarded a total of $22.9 million to support 24 states in their efforts to improve behavioral health of their citizens by providing community-based mental health and substance use disorder treatment. The report also details how states have been reporting and utilizing the required quality measures for quality improvement. This second report to Congress highlights participating states CCBHC activities that have been associated with improving access to a comprehensive range of treatment and recovery support services. [HTML version also available], Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2018 (2019). CCBHCs are required to serve anyone who requests care for mental health or substance use, regardless of their ability to pay, place of residence, or age - including developmentally appropriate care for children and youth. RE: Medicaid Guidance on the Scope and Payments for Qualifying Community-Based Mobile Crisis Intervention Services, Centers for Medicare & Medicaid Services, Center for Medicaid and CHIP Services (December 28, 2021): 7. https://www.medicaid.gov/federal-policy-guidance/downloads/sho21008.pdf. Founded in 1969, theNational Council for Mental Wellbeingis a membership organization that drives policy and social change on behalf of nearly 3,500 mental health and substance use treatment organizations and the more than 10 million children, adults and families they serve. The Michigan Department of Health and Human Services' (MDHHS) Division of Environmental Health (DEH) uses the best available science to reduce, eliminate, or prevent harm from environmental, chemical, and physical hazards. HHS selected the states for the demonstration on December 21, 2016. And we promote greater understanding of mental wellbeing as a core component of comprehensive health and health care. Contact USA.gov. Access CCBHCs: Clarification to Criteria and Guidance 2017 (PDF | 201 KB). To address rate discrepancies caused through anticipated costs and to maintain efficiency in rates, CCBHCs will be required to rebase rates in year two after projecting anticipated costs in their first cost report, and at least every three years thereafter. State officials in the demonstration program credit the CCBHC model and its funding for allowing them to build the system capacity and infrastructure required to meet rising levels of need. The National Council encourages states to take advantage of this opportunity and apply to join the CCBHC demonstration.
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