Certified community behavioral health clinics by state

Certified Community Behavioral Health Clinics are a Proven Model for Improving Care Systems

Today, the Department of Health and Human Services (HHS) through the Substance Abuse and Mental Health Services Administration (SAMHSA) is announcing two Certified Community Behavioral Health Clinics (CCBHCs) funding opportunities to expand and increase access to evidence-based mental health and substance use services for all Americans. This includes providing essential mental health services—such as 24-hour mobile crisis teams, screening, and case management—to vulnerable communities that would otherwise lack access to services.  Totaling more than $300 million, these funding opportunities reflect the Biden-Harris Administration’s commitments to addressing the nation’s mental health crisis and overdose epidemic as part of the President’s Unity Agenda.

The CCBHC model is transforming behavioral health systems one community at a time. Since its inception, Congress has invested billions of dollars into SAMHSA’s CCBHC grants, including $420 million in American Rescue Plan funding.

The two CCBHC grant programs are:

  • Certified Community Behavioral Health Clinic – Planning, Development, and Implementation (CCBHC-PDI) grants will assist clinics to establish and implement new CCBHC programs.
  • Certified Community Behavioral Health Clinic – Improvement and Advancement (CCBHC–IA) grants will support existing CCBHCs to enhance and improve their programs.

For these two programs, SAMSHA anticipates funding a combined estimated $312 million over four years for up to 156 awards for each Notice of Funding Opportunity (NOFO) in FY 2022.

“The investment into this program underscores the Biden-Harris Administration’s commitment to strengthening the mental health of all Americans,” said Health and Human Services Secretary Xavier Becerra. “Improving health outcomes, especially in vulnerable communities, is an urgent priority.”

“Over the past several years, CCBHCs have been instrumental in transforming behavioral health care in their respective communities,” said Miriam Delphin-Rittmon, Ph.D., HHS Assistant Secretary for Mental Health and Substance Use and the leader of SAMHSA. “But we know now that much more support is needed to ensure that everyone who needs help can access care when and where they seek it.”

CCBHCs must meet federal standards for the range of services that they provide, and they are required to get people into care quickly.  An important feature of the CCBHC model is that it requires crisis services that are available 24 hours a day, 7 days a week.  CCBHCs must also provide routine outpatient care within 10 business days after an initial contact so people don’t languish on waiting lists. Equally important, 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.

This announcement is also part of an HHS-wide initiative to tackle the nation’s mental health crisis and will be lifted up as part of HHS’s National Tour to Strengthen Mental Health. Following President Joe Biden’s State of the Union Address on March 1, 2022, Secretary Xavier Becerra kicked off the National Tour to Strengthen Mental Health and to hear directly from Americans across the country about the behavioral health challenges they are facing and engage with local elected officials and leaders on innovative ways to strengthen the mental health and crisis care system in our communities. More information on the National Tour to Strengthen Mental Health is available at HHS.gov/HHSTour.

Anyone seeking treatment for mental health or substance use issues should call SAMHSA’s National Helpline at 800-662-HELP (4357) or visit https://samhsa.gov/helpline.

Reporters with questions should email .

###

Sign Up for Email Updates

Receive the latest updates from the Secretary, Blogs, and News Releases

Subscribe to RSS

Media Inquiries

For general media inquiries, please contact .

Content created by Substance Abuse and Mental Health Services Administration (SAMHSA)
Content last reviewed March 24, 2022

Certified Community Behavioral Health Clinics, commonly referred to as CCBHCs, are a new provider type in Medicaid being offered across Oklahoma. CCBHCs are replacing the old Community Mental Health Center (CMHC) model.

CCBHCs are designed to provide a comprehensive range of mental health and substance use disorder services to vulnerable individuals. In return, CCBHCs receive an enhanced Medicaid reimbursement rate based on their costs of services to meet the needs of these populations.

CCBHCs represent an opportunity for states to improve the behavioral health of their citizens by: providing community-based mental and substance use disorder services; advancing integration of behavioral health with physical health care; assimilating and utilizing evidence-based practices on a more consistent basis; and promoting improved access to high quality care. Care coordination is the linchpin holding these aspects of CCBHC care together and ensuring high quality care and improved outcomes.

“It helps to know that my therapist is there if I need to talk, but also just having a place to go...Red Rock saved my life.”

“I like the new program ideas about working with law enforcement to reduce their involvement in mental health calls in the community, because I am very passionate about that.”
 

“The follow-up on consumer's concerns is excellent. I have confidence that when I ask for help with one of them, the person I ask will be responsive and go the extra step to help.”
 

“I think open access and meeting people where they are at is the future of mental health treatment.”

  1. 1
  2. 2
  3. 3
  4. 4

Certified Community Behavioral Health Clinic

"When I first brought [my daughter] to Systems of Care she was a withdrawn, anxious, and depressed child. With the help of SOC she has become a happier, outgoing kid who loves life, writing, singing, and art... I want to thank SOC for teaching not only her but our whole family coping skills and communication skills to deal with things in life as they come. I don’t know where we would be if we didn’t have SOC.”
 

“[Mental health court] saved me. I now have a better relationship with my daughters and have positive self-esteem. I got a new job with increased pay and benefits, and community resources to help with my physical health needs. I am grateful to Red Rock for all their assistance in helping me accomplish my goals.”

“I've always had a difficult time finding a psychiatrist and therapist that I feel safe and comfortable with, that's why I switched so many places throughout the years. But with NorthCare I found a doctor and therapist I trust, which is very rare for me. I really like it here, that's why I've stayed so long!”

  1. 1
  2. 2
  3. 3

  1. Services
  2. Prospective Payment System (PPS)
  3. Providers

Services

CCBHCs provide a comprehensive collection of services needed to create access, stabilize people in crisis and provide the necessary treatment for those with the most serious, complex mental illnesses and substance use disorders. CCBHCs integrate additional services to ensure an approach to health care that emphasizes recovery, wellness, trauma-informed care and physical-behavioral health integration. Comprehensive care includes, but is not limited to, the following required services:

  1. Crisis Services
  2. Screening, Assessment and Diagnosis
  3. Physical Healthcare Screening and Monitoring
  4. Comprehensive Integrated Care Planning
  5. Mental Health and Substance Use Outpatient Services
  6. Targeted Case Management
  7. Psychiatric Rehabilitation
  8. Peer & Family Support Services
  9. Veterans Services

Required Activities:

  1. Care Coordination
  2. Outreach
  3. Integrated Care
  4. Health Promotion
  5. Housing & Employment

Prospective Payment System (PPS)

The State uses a Prospective Payment System (PPS) for services delivered by a CCBHC. PPS is a cost-based, per clinic monthly rate that applies uniformly to all CCBHC services rendered by a certified clinic. CCBHC payment is based on an individual clinic’s expected cost of care. The PPS is paid when a CCBHC delivers at least one (1) CCBHC covered service, and when a valid individual procedure code is reported for the calendar month.

Rate Updates 

Provider specific monthly rates will be updated annually by the Medicare Economic Index to reflect changes due to inflation. ODMHSAS will review cost reports bi-annually to determine rate adequacy.

Providers

Contact the CCBHC Team

Malissa McEntire

Manager of Integrated Care

How many CCBHCs are there in the US?

CCBHCs Across the United States Currently, there are over 450 CCBHCs operating across the country, as either CCBHC-E grantees or clinics participating in their states' Medicaid demonstration.

How many CCBHCs are there in Texas?

The Texas Council of Community Centers represents a network of 37 local mental health authorities (LMHAs), including 7 of the CCBHC project sites.

What is a Ccbhc Michigan?

CCBHCs are designed to provide comprehensive mental health and substance use disorder services to persons in need, regardless of their ability to pay, including those who are underserved, have low incomes, are on Medicaid, insured or uninsured, and are active-duty military or veterans.

What is a DCO in healthcare?

Dental care organizations (DCOs) are prepaid managed care organizations that contract, on a capitated basis, with the Oregon Health Authority (OHA).