Certified Community Behavioral Health Clinics (CCBHC)

Certified Community Behavioral Health Clinic

CCBHCs are a new provider type in Medicaid. They are designed to provide a comprehensive range of mental health and substance use disorder services to vulnerable individuals. In return, CCBHCs receive an enhanced Medicaid reimbursement rate based on their costs of services to meet the needs of these populations.

Insufficient funding has long posed a barrier to increasing Americans' access to behavioral health care. The CCBHC model address financing shortfalls by paying clinics a Medicaid rate inclusive of their costs of expanding service lines and serving new consumers.

Increased access to services, innovative relationships with law enforcement, reduction in crisis hospitalizations, enhanced crisis services and increased use of evidenced-based practices.

CCBHCs...

1. Provide easy access to integrated services for all individuals regardless of pay sources or ability to pay.
2. Provide a full array of mental health and substance use disorder services available in every certified location and provide or coordinate with primary care services.
3. Provide quality-driven services as demonstrated through data reports and outcomes reports generated by ODMHSAS or its contractors.
4. Provide enhanced integration and coordination of mental health and substance use disorder services and supports for people across their lifespans.

•  More than 600 new staff added to system
• Expanded service hours
• Staff match clients served
• Increased community partnerships
• iPad program
• Team-based care

Access to Care

- CCBHC: Required to serve everyone, significant increase in staff

- CMHC: Low reimbursement rate, workforce shortages

Evidence-Based Practices

- CCBHC: Required evidence-based practices listed, rate supports implementation

- CMHC: No requirements, dependent upon grant funding to support

Crisis Services

- CCBHC: Required to provide 24/7 crisis care, including mobile crisis teams

- CMHC: Referrals to crisis centers, not consistent across the state

Medication Assisted Treatment (MAT)

- CCBHC: Reimbursement rate supports it, increase in services

- CMHC: Difficulty hiring and retaining prescribers, low reimbursement

Quality Measures

- CCBHC: Additional standardized measures across providers and nationally

- CMHC: Inconsistent measures nationally, Oklahoma has standardized ETPS measures

1. Nine (9) types of services
2. Provision of 24-hour crisis care
3. Evidence-based practices
4. Care coordination with local primary care and hospital partners
5. Integration with physical health care

• Care coordination
• Outreach
• Crisis services
• Targeted case management
• Comprehensive integrated care planning
• PCP screening and monitoring
• Psychiatric rehabilitation
• Integrated care and health promotion
• Outpatient mental health and substance use services
• Housing and employment services
• Peer and family support services
• Screening, assessment and diagnosis
• Veterans services