Certified Community Behavioral Health Clinics
In October 2015, the Division of Mental Health, Developmental Disabilities and Substance Abuse Services (DMH/DD/SAS) and the Division of Medical Assistance (DMA) were awarded a planning grant for Certified Community Behavioral Health Clinics (CCBHC) from the Substance Abuse and Mental Health Services Administration (SAMHSA).
The planning grant will aid North Carolina Medicaid beneficiaries in obtaining integrated behavioral health and physical health care from qualified providers. Authorized under Section 223 of the Protecting Access to Medicare Act of 2014, the planning grants are part of a comprehensive effort to integrate behavioral health with physical health care, utilize evidence-based practices and improve access to high quality care.
An overview about CCBHCs can be found here.
Over the course of the planning year, the proposed project will:
- Certify community behavioral health clinics,
- Establish a prospective payment system for Medicaid reimbursable services, and
- Develop an application for a two-year demonstration program.
Clinics will be certified based on the required criteria (staffing, availability and access to services, care coordination, scope of services, quality and other reporting, and organizational authority) developed by SAMHSA. Based on guidance that will be issued by the Centers for Medicare & Medicaid Services (CMS) to states and clinics, the proposed project will develop, refine and establish a prospective payment system to be used for the demonstration that will follow the planning year.
Visit the SAMHSA web page for more information about Certified Community Behavioral Health Clinics.
Questions and Answers
Below are links to documents that contain questions posed to SAMHSA, CMS or North Carolina with answers and/or referencing information that interested providers or individuals may find useful.
*Please note that responses to these questions are in draft form and are subject to change.