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Excellence in Mental Health Act

 

Watch Senator Debbie Stabenow speak about the Excellence in Mental Health Act here!

 

REGIONAL MEETINGS ON CCBHC COST REPORTING

National Council members are invited to register to attend one of our five regional meetings on cost reporting for CCBHCs.

STATE PLANNING GRANT TOOLKIT

On May 20, 2015, SAMHSA released a Request for Applications for Planning Grants for Certified Community Behavioral Health Clinics, a new designation for community-based behavioral health organizations that will deliver intensive, person-centered, multidisciplinary, evidence-based screening, assessment, diagnostics, treatment, prevention, and wellness services. This includes 24/7 crisis response and peer support services.

To support states that plan to apply for planning grants, the National Council has created this State Planning Grant Toolkit for Certified Community Behavioral Health Clinics.

 

ARE YOU READY TO BECOME A CCBHC?

MTM Services has released their new CCBHC Certification Criteria Readiness Tool (CCRT) to assist organizations is assessing their current status and identifying areas of needed improvement to ensure ideal candidacy to become a CCBHC.

The purpose of the CCBHC Certification Criteria Readiness Tool (CCRT) is to provide the management team of each Community Behavioral Health Clinic that is considering participation in the demonstration program the ability to review the required CCBHC certification criteria. The CCRT provides a level of concern rating that will support awareness of the level of change management that may be needed to support enhanced service delivery processes, staffing, scope of services, quality outcomes, reporting and governance areas.

Complete your readiness tool in this editable document here.

 

CCBHC PLANNING GRANT Webinars

The National Council, in partnership with Health Management Associates, hosted a webinar on June 17th, walking states through the planning grant application and highlighting key planning considerations for states to make as they move forward with their applications.

Download the slides from the webinar here and listen to a recording here.

The Substance Abuse and Mental Health Services Administration hosted two pre-application webinars on June 8th (Part 1 – view recording) and June 10th (Part 2 – view recording). The first webinar discussed in depth the services required of a CCBHC and its Designated Collaborating Organization (DCO).  The second, walked states through the Prospective Payment System guidance released by the Centers for Medicare and Medicaid Services (CMS). More information on those webinars can be found here.

 

FOR MORE INFORMATION AND RESOURCES
  • Read our comprehensive fact sheet, including a description of CCBHC criteria and the state planning process.
  • Register for our next CCBHC – Excellence in Mental Health Act Webinar: June 17 at 12pm ET. Tick Tock: The Countdown Is On for CCBHC State Planning Grant Applications: The deadline has been set – August 5, 2015. States have until August 5 to apply for Excellence in Mental Health planning grants to become Certified Community Behavioral Health Clinics (CCBHCs). Now that implementation has kicked off, it is time to learn about the planning grant application requirements, what is in the final CCBHC certification criteria, and what we now know about the Prospective Payment System options that states have. The National Council and Health Management Associate are teaming up to help answer these and any other questions you may have.
  • Stay up to date on the latest Excellence Act news on our blog, Capitol Connector.
  • Please don’t hesitate to contact Chuck IngogliaNina Marshall or Rebecca Farley on our staff with questions about the Excellence Act, advice on how to craft your planning grant application, tips on assessing your organization’s readiness to participate, and much more.
OVERVIEW

On March 31, 2014, Congress passed the Protecting Access to Medicare Act (H.R. 4302), which included a demonstration program based on the Excellence in Mental Health Act. On May 20, 2015, two federal agencies released guidance on how they will be implementing this Act, the biggest federal investment in mental health and addiction services in a generation. The Excellence Act will increase Americans’ access to community mental health and substance use treatment services while improving Medicaid reimbursement for these services. This legislation:

  • Creates criteria for “Certified Community Behavioral Health Clinics” as entities designed to serve individuals with serious mental illnesses and substance use disorders that provide intensive, person-centered, multidisciplinary, evidence-based screening, assessment, diagnostics, treatment, prevention, and wellness services. The Secretary of the Department of Health and Human Services recently released applications for planning grants directed to establish a process for selecting states to participate in a 2-year pilot program.
  • Provides $24.6 million that will be available to states as planning grants to develop applications to participate in the 2-year pilot. SAMHSA will be funding up to 25 states for planning grants of up to $2 million to start to put together their certification processes and develop their payment methodologies. Only states that have received a planning grant will be eligible to apply to participate in the pilot.
  • Stipulates that eight (8) states will be selected to participate in the 2-year pilot program.  The match rate for Certified Community Behavioral Health Clinic services is either the Enhanced FMAP/CHIP rate or, for newly eligible “expansion” Medicaid beneficiaries, the current FMAP for that population – which is 100% now and moves down to 90% by 2020.
  • Requires participating states to develop a Prospective Payment System (See Appendix III) for reimbursing Certified Community Behavioral Health Clinics for required services provided by these entities.
  • Requires Certified Community Behavioral Health Clinics to engage in partnerships with a variety of health system partners, from primary care to hospitals, VA centers, and more. The emphasis on these partnerships reflects the need for health care organizations to work together to demonstrate concrete health outcomes and high-value care.
  • Improves behavioral health resources for public safety by providing a much-needed infusion of funding into the addiction and mental health system, expanding treatment capacity and alleviating the burden on public safety officers.

 

TIMELINE

May, 2015: The Substance Abuse and Mental Health Services Administration (SAMHSA) and the Centers for Medicare and Medicaid Services (CMS) released guidance on how they will be implementing the Excellence in Mental Health Act, including certification criteria, prospective payment guidance, and the planning grant applications.

August 5, 2015: Deadline for states to submit planning grant applications to SAMHSA. Only states that apply will be eligible to receive federal funding for planning grants. Only states that have received a planning grant are eligible to apply for and participate in the two-year demonstration program.

October 1, 2015: Deadline for the Secretary to award planning grants to states for the purpose of developing proposals to participate in the demonstration program. Planning grant funds can be used to support states as they determine how CCBHCs best fit within current system redesign efforts.  States can leverage this opportunity plan and implement other delivery and payment reform efforts.

October, 2016: Deadline for states to submit their applications to participate in the demonstration. The demonstration program includes provisions that will provide CCBHCs with the financial footing to deliver these required services.

January, 2017: Deadline for the Secretary to select the states that will participate in the demonstration program. Only states that have received a planning grant are eligible to participate. The states will be selected through a competitive application process and must represent a diverse selection of geographic areas, including rural and underserved areas.

 

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  • brenda carpenter

    I AM SENDING MY SUPPORT AND APPRECIATION OF MENTAL HEALTH CONCERNS IN AMERICA. WE DO NOT HAVE A “GUN” ISSUE, WE HAVE A MEDICATION COMPLIANCE ISSUE WITH OUR SEVERELY DISABLED MENTAL INDIVIDUALS (SDMI). AMERICA ALSO NEEDS EACH STATE TO HAVE A FORENSIC UNIT ATTACHED TO THEIR RESPECTIVE MENTAL STATE HOSPITALS (MSH) FOR SUPPORT (CONFINEMENT) OF LONG TERM CARE FOR INDIVIDUALS WITH SEVERE MENTAL ILLNESS. THINK ADAM LANZER TYPE SITUATIONS. FAMILY AND COMMUNITY CAN NOT, I REPEAT CANNOT, SUPPORT SEVERE SITUATIONS 24/7 WHEN THESE INDIVIDUALS PRESENT ESCALATION IN THEIR BEHAVIOR(S) CAUSING A SAFETY RISK TO THEMSELVES AND / OR OTHERS. THANK YOU FOR LISTENIING AND TAKING IT TO THE NEXT LEVEL.
    BRENDA CARPENTER, RN, BSN AND CASE MGR. PROVIDER MISSOULA MT.

    • Valerie Romero

      Confinement equates to torture. Would U like to be confined? No human being deserves such oppressive remarks…..Confinement does not reduce the rate of recidivism

      • Stephanie

        Valerie, Brenda is not speaking of inmates, she is speaking of individuals who are KNOWN to be a danger to themselves and to society. Confinement in this situation does not necessarily mean a jail cell; however, it does mean a facility with properly trained staff able to handle an escalation. So many of these tragedies could have been preempted had there been the proper facilities in place. Would U like your children or fiance murdered in cold blood or to be murdered yourself?

        • Michael Hlebechuk

          So, how would those to be confined be selected? Peer reviewed literature tells us that one cannot accurately predict which individuals who have a psychiatric disability will become violent. So, what is the answer? Make your best guess? Or, lock ’em all up? Because if you make your best guess, you might decrease the rate of violence by a very small fraction while incarcerating or confining a whole lot of other people who never would have been violent.

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  • Althea Walters

    Health is more than the absence of disease.

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