CCBHC Development & Certification Consulting
CCBHC Development & Certification Consulting
A Certified Community Behavioral Health Clinic (CCBHC) is a community-based behavioral health clinic that meets a specific set of federal criteria established by SAMHSA and receives an enhanced Medicaid prospective payment system (PPS) rate that is designed to cover the actual cost of providing a comprehensive array of mental health and substance use disorder services. The CCBHC model was created to address the longstanding underfunding of community behavioral health services — paying for the full cost of care rather than just the clinical encounter.
CCBHCs must provide nine required service areas: crisis services available 24/7, outpatient mental health and SUD services, primary care screening and monitoring, targeted case management, psychiatric rehabilitation services, peer and family support services, intensive community mental health services (including ACT), screening, assessment, and diagnosis, and outpatient SUD services including MAT.
The CCBHC Medicaid demonstration has been expanded nationally, and states are increasingly making CCBHC certification available to qualifying organizations outside of the original demonstration states. The financial impact of CCBHC designation — particularly the PPS rate that covers actual cost of care — is transformative for organizations that achieve it.
CCBHC Requirements We Navigate
Required Service Array
Gap analysis of required CCBHC services with support to build services internally or through DCO partnerships.Staffing Requirements
Assessment and planning for crisis staffing, peer support, care coordination, and cultural competency standards.Organizational Infrastructure Requirements
Development of systems for quality reporting, care coordination, HIT, accreditation, and compliance readiness.Prospective Payment System Implementation
Support with PPS methodology, cost accounting systems, and accurate rate optimization.Quality Reporting
Design of data collection and reporting systems to meet CCBHC measure and funding requirements.
Some or all of the services described herein may not be permissible for HealthBridge US clients and their affiliates or related entities.
The information provided is general in nature and is not intended to address the specific circumstances of any individual or entity. While we strive to offer accurate and timely information, we cannot guarantee that such information remains accurate after it is received or that it will continue to be accurate over time. Anyone seeking to act on such information should first seek professional advice tailored to their specific situation. HealthBridge US does not offer legal services.
HealthBridge US is not affiliated with any department of public health agencies in any state, nor with the Centers for Medicare & Medicaid Services (CMS). We offer healthcare consulting services exclusively and are an independent consulting firm not affiliated with any regulatory organizations, including but not limited to the Accrediting Organizations, the Centers for Medicare & Medicaid Services (CMS), and state departments. HealthBridge is an anti-fraud company in full compliance with all applicable federal and state regulations for CMS, as well as other relevant business and healthcare laws.
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