As of January 15, 2020, every state is now eligible to participate in the CCBHC Expansion Grant program. SAMHSA released a funding opportunity announcement indicating that eligibility for the grants is now nationwide. Read the announcement here.
The Certified Community Behavioral Health Clinic (CCBHC) demonstration program has been up and running for just over two years. In that timeframe, Congress has extended the demonstration program and allocated $450 million to date for expansion grants—signifying the importance of CCBHCs and their impact on improving access to mental health and addiction care in community-based settings.
What does the future hold for CCBHCs? On Wednesday, January 29, we’re partnering with The National Council to discuss the future of CCBHCs, including:
- The ins and outs of the CCBHC model
- Opportunities the CCBHC model presents for clinics
- What the future holds for adoption of the CCBHC model outside the original demonstration program
- How clinics can leverage CCBHC status to advance staff training
The future of CCBHCs (and the CCBHC model) is important because it’s the first major change in the way we deliver and finance behavioral health services—from the key competencies required to tracking outcomes to coordination of services. The CCBHC model is considered by some the ‘gold standard’ in the delivery of mental health and recovery care.
Below we’re taking a look back at the evolution of the CCBHC program, what it takes to become a CCBHC and where they’re located, and where to find resources and news on CCBHCs (including law and policy updates).
Evolution of the CCBHC Program
- April 2014: Congress enacts Protecting Access to Medicare Act of 2014 (PAMA), requiring Department of Health and Human Services to establish a process for certification of Certified Community Behavioral Health Clinics as part of a two-year demonstration project under Medicaid
- October 2015: SAMHSA awards 24 states planning grants to design a CCBHC program
- October 31, 2016: Deadline for states to submit CCBHC program plans
- January 2017: States are selected to begin two-year demonstration program
- November 21, 2019: CCBHC funding extension signed into law through December 20, 2019
- December 6, 2019: Congress unveils updated bill that includes two-year extension of the CCBHC program
- December 20, 2019: Congress approves 2020 appropriations bill that includes 5-month extension for the CCBHC demonstration and a $50 million increase for the CCBHC Expansion Grants
- January 15, 2020: SAMHSA opens CCBHC Expansion Grant Program to clinics across all 50 states. Application deadline is March 10, 2020.
What It Takes to Become a CCBHC
Because Certified Community Behavioral Health Clinics are clinics that provide “a comprehensive range of addiction and mental health services to vulnerable individuals,” they are required to provide nine types of services, including:
- Crisis mental health services
- Screening, assessment and diagnosis, including risk assessment
- Patient-centered treatment planning
- Outpatient mental health and substance use services
- Primary care screening and monitoring of key health indicators/health risk
- Targeted care management
- Psychiatric rehabilitation services
- Peer support and family supports
- Intensive, community-based mental health care for members of the armed forces and veterans
They must also meet criteria in six key areas:
- Availability and accessibility of services
- Care coordination
- Scope of services
- Quality and other reporting
- Organizational authority
States in the CCBHC Demonstration Program
In their first year, CCBHCs across eight states served an estimated 380,000 people, including nearly 270,000 Medicaid beneficiaries.
Currently, there are 113 CCBHCs in 21 states, including 66 from the eight original states in the demonstration program.
- New Jersey*
- New York*
- North Carolina
- Rhode Island
* Denotes original demonstration program participant
CCBHC News and Resources
- The National Council—CCBHC Topic Hub
- The National Council—CMS and SAMHSA Guidance Documents
- The National Council—CCBHC Certification Criteria Feasibility and Readiness Tool
- SAMHSA—CCBHC Criteria
- SAMHSA – FY 2020 Certified Community Behavioral Health Clinic Expansion Grants (PDF)
- Relias—CCBHC Sample Training Plan
- Relias—Board Member Training
What Does the Future Look Like for CCBHCs?
Register for our upcoming webinar, The Future of CCBHCs: Opportunities for Expansion and Lessons Learned From the Field, on Wednesday, January 29, 2020, at 2:00 p.m. ET. The National Council will join us as we discuss the ins and outs of the CCBHC model, what the future holds for adoption of the CCBHC model, and how clinics can leverage CCBHC status to advance staff training.
Register for the webinar