The Certified Community Behavioral Health Clinic (CCBHC) model alleviates decades-old challenges that have led to a crisis in providing access to mental health and addiction care. As an integrated and sustainably-financed model for care delivery, CCBHCs:
- Ensure access to integrated, evidence-based addiction and mental health services, including 24/7 crisis response and medication-assisted treatment (MAT) for addiction.
- Meet stringent criteria regarding timeliness of access, quality reporting, staffing and coordination with social services, criminal justice and education systems.
- Receive funding to support the real costs of expanding services to fully meet the need for care in their communities.
CCBHCs have dramatically increased access to mental health and substance use disorder treatment, expanded states’ capacity to address the overdose crisis and established innovative partnerships with law enforcement, schools and hospitals to improve care, reduce recidivism and prevent hospital readmissions.
Recognizing the promise of the CCBHC model, Congress in 2020 expanded the original eight-state Medicaid demonstration program to include additional states, and since 2018 has appropriated grant funding to support CCBHC readiness. Today, 340 CCBHCs are operating in 40 states, plus Washington, D.C. and Guam. A growing number of states are moving to implement the model – similar to other value-based or alternative payment models – independently via a state plan amendment or Medicaid waiver.
Data & Impact
- CCBHC Impact Report (National Council for Mental Wellbeing, 2020)
- CCBHCs: Bridging the Addiction Treatment Gap (National Council for Mental Wellbeing, 2018)
- Implementation Findings from the National Evaluation of the CCBHC Demonstration, 2020
- Preliminary Cost and Quality Findings from the National Evaluation of the CCBHC Demonstration, 2020
- State-specific data may be available in some cases; contact us with inquiries.
- What is a CCBHC?
- Learn more about the two CCBHC funding streams.
- CCBHCs and County Governments
- Learn how CCBHCs decriminalize mental illness.
- CCBHCs: Moving Beyond Business as Usual
- View demonstration program details and requirements on the SAMHSA CCBHC website
- Learn about current legislation and take action to extend and expand CCBHCs
I am a…
Visit our CCBHC Implementation Support page for resources and assistance with kick-starting your CCBHC grant or strengthening your existing CCBHC activities.
While the CCBHC model is not yet nationwide, there are several pathways for interested clinics in any state to become CCBHCs:
- Receive a CCBHC expansion grant. The application period for the latest round of grants is closed, but the National Council is advocating for an expansion of grant funding to allow additional clinics to apply for this opportunity in the future.
- Join your state’s CCBHC Medicaid demonstration, if applicable. Most states are not accepting new clinics into the demonstration at this time; however, the National Council encourages prospective CCBHCs to communicate your interest to your state behavioral health and Medicaid agencies. The demonstration is currently active in Minnesota, Missouri, New Jersey, New York, Nevada, Oklahoma and Oregon. Pennsylvania has transitioned its CCBHC program into its Medicaid Integrated Community Wellness Center program. Kentucky and Michigan were selected for an expansion of the demonstration in August 2020.
- Work with your state to implement the model independently of the grants or demonstration. Contact us to discuss opportunities for establishing CCBHCs within your state’s Medicaid program.
Ready to get started on your CCBHC journey? The National Council and our partners provide technical assistance and consulting to help clinics become CCBHC-ready in anticipation of the expansion of the CCBHC demonstration and the next round of CCBHC expansion grants.
Our team is also available for presentations and strategic planning sessions to cover the CCBHC criteria in detail, outline current opportunities for states and clinics to adopt the CCBHC model and help executive teams, boards or groups of interested clinics assess whether becoming a CCBHC is right for them.
The CCBHC model can be tailored by states to meet their unique goals for quality, scope of services and value. States in the CCBHC demonstration have leveraged the model to:
- Expand addiction treatment capacity in their communities.
- Reduce inpatient hospital and emergency department utilization.
- Improve crisis response, leading to reduced burden and expenditures for law enforcement officers, first responders and jails.
- Increase hiring and recruitment of behavioral health treatment professionals, mitigating the effects of the workforce shortage.
- Include behavioral health providers in value-based payment arrangements and quality incentive programs targeted to meet the state’s goals.
- Implement a standardized, broader array of services available in every community, with greater transparency for state administrators around the costs and value of their investments in behavioral health.
- Ensure more robust, agile system capable of shifting quickly in response to crises like the COVID-19 pandemic.
States interested in implementing the CCBHC model do not have to wait for Congress to expand the demonstration; they may take advantage of existing authorities to establish CCBHCs via a waiver or state plan amendment. The Centers for Medicare and Medicaid Services (CMS) has already approved CCBHC State Plan Amendments (SPAs) and waivers in multiple demonstration states and has encouraged others to take advantage of this opportunity.
Resources for states:
- What is a CCBHC?
- CCBHCs: Moving Beyond Business as Usual
- CCBHCs: A New Type of Prospective Payment System
- CCBHC as an Alternative Payment Model
The National Council offers strategic advice, information and technical assistance to states interested in pursuing the model or learning about the CCBHC experience in other states. Please visit our CCBHC Implementation Support page or contact us.
By infusing new resources into the behavioral health safety net, the CCBHC model has the potential to bolster struggling clinics and open the doors to care that is driven by patient need rather than the availability of reimbursement. In states that have implemented the CCBHC model, state behavioral health associations have been integrally involved and can serve as a unified voice for their membership. They may also have opportunities to play a formal role with the state around data collection and ongoing CCBHC training or readiness activities.
The National Council offers strategic advice, information and technical assistance to state associations interested in learning about the CCBHC experience in other states and working with their membership and state Medicaid agencies to pursue the model via a waiver or state plan amendment. Please visit our CCBHC Implementation Support page or contact us.