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1 [1] (September 15, 2023)

handle is hein.crs/govemvt0001 and id is 1 raw text is: Congre s&ona R Fesedrch Service hnformino Ih lecisIlive deat sin'e 1914 September 15, 2023 Certified Community Behavioral Health Clinics (CCBHCs) Since the 1960s, when Congress authorized the first federal grants to establish outpatient mental health clinics, the federal government has supported states' provision of community-based behavioral health services. In 2014, Certified Community Behavioral Health Clinics (CCBHCs) were developed to improve community behavioral health services by supporting certain outpatient mental health clinics that meet specified federally designated criteria. A CCBHC is a federally designated model of care. CCBHCs can be supported by a Medicaid demonstration program for states and/or discretionary grant funding for clinics from the Substance Abuse and Mental Health Services Administration (SAMHSA). What Is a CCBHC? CCBHCs are community-based outpatient facilities operated by nonprofit, governmental, or tribal entities that offer a comprehensive range of behavioral health services. Federal criteria related to access and quality of mental health care are used to certify outpatient behavioral health clinics that meet these standards. The criteria require CCBHCs to provide specified services, such as risk assessment, outpatient mental health and substance use treatment, case management, psychiatric rehabilitation services, peer and family supports, 24-hour crisis management, primary care screening, and care coordination (among others), on site or through partnerships with other health and social service providers. CCBHCs must provide services to individuals with mental health and substance use disorders seeking care regardless of ability to pay or place of residence. CCBHCs can serve patients covered by Medicare, Medicaid, and private health insurance, as well as those who are uninsured. CCBHCs may receive state funds or funding from other federal discretionary grant programs. CC BHC Medicaid Demonstration Program Section 223 of the Protecting Access to Medicare Act of 2014 (P.L. 113-93) authorized the Medicaid demonstration program for community behavioral health clinics that meet the federally designated CCBHC criteria specified in the law. For states participating in the demonstration program, the federal government pays a higher share of Medicaid expenditures through the enhanced federal medical assistance percentage (E-FMAP) for services provided to Medicaid enrollees at CCBHCs. In addition, CCBHCs in these states, through a prospective payment system (PPS) methodology, receive greater Medicaid payment rates than what the state pays other mental health outpatient clinics. Eight states are currently participating in the demonstration (Table 1). Table I. CCBHC Medicaid Demonstration Program States and Dates Date Planning Date Demonstration Grant States Period End States Awarded Selected Date MO, NV, NJ, October 19, December September 30, NY, OK, OR 2015 21, 2016 2025 KY and MI October 19, August 5, Six years after 2015 2020 implementation (MI: September 30, 2027, and KY: December 31, 2027) Up to 10 March 16, 2023 On or after Four years after states July 1, 2024 implementation Source: U.S. Department of Health and Human Services (HHS), HHS awards up to $22.9 million in Planning Grants for Certified Community Behavioral Health Clinics, October 19, 201 5, 42 U.S.C. § I 396a notes; Center for Medicaid and CHIP Services, CMS and SAMHSA announce new participants of the Certified Community Behavioral Health Clinic Demonstration, August 5, 2020; HHS, HHS Awards CCBHC Planning Grants to 15 States to Help Address Ongoing Mental Health Crisis, March I 6, 2023. Notes: CCBHC=Certified Community Behavioral Health Clinic. Pennsylvania and Minnesota were among the original eight states selected to participate in the demonstration program, but both states have since withdrawn from the demonstration. In October 2015, HHS awarded $23 million in planning grants to 24 states to develop proposals to participate in the CCBHC demonstration program. In December 2016, HHS selected eight states to participate: Minnesota, Missouri, Nevada, New Jersey, New York, Oklahoma, Oregon, and Pennsylvania. (Pennsylvania and Minnesota have since withdrawn from the demonstration.) For the six original states that continue to participate in the Medicaid demonstration program, the current expiration date of the demonstration is September 30, 2025. In 2020, HHS selected two additional states (Kentucky and Michigan) to join the demonstration program, as authorized by the Coronavirus Aid, Relief, and Economic Security Act of 2020 (P.L. 116-136). Kentucky's demonstration expires December 31, 2027, and Michigan's demonstration expires September 30, 2027. The Bipartisan Safer Communities Act of 2022 (P.L. 117- 159) authorizes the HHS Secretary to select up to 10 additional states for the Medicaid demonstration program beginning July 1, 2024, and every two years after that. The demonstration program for this new group of states is authorized to last four years from the date the state implements the demonstration. On March 16, 2023, HHS awarded planning grants to 15 states: Alabama, Delaware, Georgia, Iowa, Kansas, Maine, Mississippi, Montana, North

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