CMS Adds 10 States to CCBHC Medicaid Demonstration Program
HHS announced that 10 states—Alaska, Colorado, Hawaii, Louisiana, Maryland, Mississippi, Montana, North Dakota, Washington, and West Virginia—will join the Certified Community Behavioral Health Clinic (CCBHC) Medicaid Demonstration Program. The demonstration, operated jointly by CMS and SAMHSA, tests an alternative payment model for comprehensive community behavioral health services. CCBHCs provide a defined scope of crisis, mental health, and substance use disorder services under a prospective payment system. For participating states, managed care organizations will need to contract with CCBHCs and adjust payment methodologies to comply with the demonstration's requirements.
MCOs in these 10 states must prepare to integrate CCBHCs into their networks and implement prospective payment methodologies that differ from standard fee-for-service or capitated behavioral health reimbursement.
Behavioral Health · Managed Care
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