TAKE ACTION TO EXPAND AND SUSTAIN CCBHCs
The Certified Community Behavioral Health Clinic (CCBHC) model is transforming service delivery and ensuring sustainable funding for the behavioral health system into the future.
Since the passage of the 2014 law creating the two-year, eight-state CCBHC Medicaid demonstration, Congress has extended the program numerous times, added two states to the demonstration, and enacted a supplementary grant fund available to demonstration sites and new CCBHCs throughout the U.S. Voice your support for expanding the CCBHC program by writing your legislators today.
Despite this progress, challenges remain. Only those CCBHCs participating in the Medicaid demonstration are eligible for the prospective payment rate that offers a truly sustainable financing mechanism to support their operations. The demonstration is currently slated to end Nov. 30, 2020, and must be extended by Congress. Meanwhile, CCBHC expansion grantees risk losing their funding every two years as their grants expire. And behavioral health providers in many communities that are poised and ready to adopt the model have not yet been given the opportunity to participate.
The National Council for Behavioral Health is committed to expanding CCBHCs nationwide, with Medicaid prospective payment available to all CCBHCs. As a first step, we are working side by side with clinics, state and federal policymakers and advocates across the nation to open the doors to CCBHC status for 500 organizations by 2025.
Current Federal Program Status
- CCBHC Medicaid Demonstration: The CCBHC Medicaid demonstration is scheduled to expire on Nov. 30, 2020, for the original states participating in the demonstration. The National Council urges Congress to further extend the demonstration.
- New States Added to Demonstration: The CARES Act of 2020 added two states to the Medicaid demonstration for a two-year term of activities. CMS and SAMHSA announced August 5 that Kentucky and Michigan have been selected for participation. The National Council continues to advocate for expansion of the demonstration to additional states.
- CCBHC Expansion Grants: The Trump Administration has proposed $225 million for CCBHC Expansion Grants in Fiscal Year (FY) 2021. This would provide continuation funding for FY 2020 grantees and would allow for the award of additional grants. Congress has not yet finalized FY 2021 spending.
Federal Legislation and Appropriations
Bipartisan legislation to extend and expand the CCBHC Medicaid demonstration—the Excellence in Mental Health and Addiction Treatment Expansion Act (S. 824 / H.R. 1767), authored by Sens. Debbie Stabenow (D-Mich.) and Roy Blunt (R-Mo.) and Reps. Doris Matsui (D-Calif.) and Markwayne Mullin (R-Okla.) – continues to gain support in Congress. Each year since 2018, Congress has also appropriated funds for CCBHC Expansion Grants, a complement to the CCBHC Medicaid demonstration. Learn more about the difference between the CCBHC funding streams.
State Policies and Opportunities
States do not have to wait for Congress to extend the Medicaid demonstration; opportunities to implement CCBHCs are available through existing Medicaid waiver and State Plan Amendment (SPA) authorities. The National Council offers strategic advice, information and technical assistance to stakeholders interested in pursuing statewide implementation. Please visit our CCBHC Implementation Support page or contact us.