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 mental health and addiction 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 new states to the demonstration, and enacted a supplementary grant fund available to demonstration sites and new CCBHCs throughout the U.S. Today, there are 431 CCBHCs in 42 states, plus Washington, D.C. and Guam.
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 September 30, 2023. 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 Mental Wellbeing 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 September 30, 2023, for states receiving the enhanced match. The National Council urges Congress to further extend the demonstration.
- CCBHC Expansion Grants: CCBHC Expansion Grants: As part of the COVID-19 relief bill and funding package passed in December 2020, $600 million was allocated for CCBHC expansion grants. In January 2021, SAMHSA released grants to 134 clinics, enabling them to become CCBHCs. There are now 340 CCBHCs in 40 states, plus D.C. and Guam.
Federal Legislation and Appropriations
The Excellence in Mental Health and Addiction Treatment Act of 2021 – bipartisan legislation to extend and expand the CCBHC Medicaid demonstration – was reintroduced in the 117th Congress in June 2021. The legislation would allow every state the option of joining the CCBHC Medicaid demonstration and authorize investments in the model for current and prospective CCBHCs. 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 of CCBHCs as a value-based, alternative payment model to transform the treatment system. Please visit our CCBHC Implementation Support page or contact us.