The CCBHC project team is pleased to announce Nevada was
selected to participate in the CCBHC demonstration program! For further details on the selection announcement and the
demonstration program, please see the press release attached and visit the
National Council on Behavioral Health
Section 223 of the Protecting Access to Medicare Act (PAMA) of 2014 supports states in establishing certified community behavioral health clinics (CCBHCs) through the creation and evaluation of a CCBHC 223 Demonstration Program. The objective of the CCBHC demonstration is to improve behavioral health outcomes for targeted populations through innovation and transformation of the way primary and behavioral health care is delivered.
The Centers for Medicare & Medicaid Services (CMS) is authorized under PAMA to provide the following for the CCBHC 223 Demonstration Program:
- Certification criteria that states will use for a two-year Demonstration Program.
- Guidance on the development of a prospective payment system (PPS) for payment of CCBHC services.
- Federal matching funds equivalent to the Children’s Health Insurance Program (CHIP) rate for CCBHC services to Medicaid beneficiaries.
In October 2015, the Substance Abuse and Mental Health Services Administration (SAMHSA), in collaboration with CMS, awarded a total of $22.9 million in planning grants to 24 states to support improvement of behavioral health outcomes through the integration of primary health care with behavioral health care, and increased access to high quality, coordinated care for Medicaid and CHIP beneficiaries.
The planning grants are the first phase of a two-phase process. When the planning grant phase ends in October 2016, awardees will have an opportunity to apply to participate in a two-year Demonstration Program that will begin January 2017. Under the Demonstration Program, no more than eight states with CCBHCs will provide behavioral health services to eligible beneficiaries and be paid using an approved prospective payment system.
Nevada received a CCBHC planning grant in the amount of $933,067 to:
- Engage stakeholders and coordinate activities across the health care community and state agencies to access needs and ensure services are accessible and available.
- Certify CCBHCs based on the requirements established by CMS.
- Identify primary care and behavioral health services that will be available.
- Implement evidence-based practices.
- Support existing behavioral health and primary care providers to explore their capabilities to become CCBHCs.
- Establish a PPS methodology for payment, including a quality-based incentive payment component.
- Build the infrastructure for data collection and reporting.
At the end of the planning grant period, Nevada will submit an application to participate in the two-year Demonstration Program.
Stakeholder participation is critical to the success of Nevada’s CCBHC planning grant and the development of the road map for integrating behavioral health with physical health care services, promoting evidence-based practices, and improving behavioral health outcomes for the Medicaid and CHIP populations. Please submit your ideas or questions to the CCBHC mailbox at firstname.lastname@example.org.