Healthcare / HHS / SAMHSA
Certified Community Behavioral Health Clinics
Two routes. Medicaid Section 223 demonstration: a participating state certifies clinics, sets a clinic-specific Medicaid prospective payment system (PPS) rate, and pays each certified CCBHC a fixed daily (PPS-1) or monthly (PPS-2) rate per qualifying visit/encounter; the federal government reimburses the state for those CCBHC services at an enhanced FMAP equal to the state's enhanced CHIP matching rate under section 2105(b) of the Social Security Act, plus optional quality bonus payments. SAMHSA CCBHC-Expansion (CCBHC-E) route: SAMHSA awards competitive discretionary grants directly to community behavioral health organizations (not through states), up to about $1,000,000 per year for four years per grantee, paid as a cooperative agreement / grant.
- $2.3Bobligated
- $1.9Breceived
- 604active awards
- 328recipients
- 52states
- 420counties
- Federal award record (USAspending)
- Authorizing statute
- Agency allocation table
- 16 primary documents, sealed
Authority
Certified Community Behavioral Health Clinics is authorized by Protecting Access to Medicare Act of 2014 (PAMA), Section 223 (Demonstration Programs to Improve Community Mental Health Services), administered by HHS / SAMHSA, as a mixed program. Statute.
Medicaid demonstration: not a fixed per-state dollar allocation. States are competitively selected into the demonstration (original up to 8 states under PAMA; +2 under the CARES Act; +10 every two years under BSCA section 11001). Each selected state then receives an open-ended enhanced federal match (CHIP-equivalent enhanced FMAP, section 2105(b)) on its actual CCBHC PPS expenditures, so federal dollars scale with certified-clinic costs and utilization rather than a published allocation table. SAMHSA CCBHC-E grants: competitive discretionary awards with per-grantee ceilings (about $1,000,000/year for four years for IA and PDI grants; $1,000,000/year cap for planning grants).
Allocations by jurisdiction
20 jurisdictions, from the published allocation table.
| Jurisdiction | Amount | Note |
|---|---|---|
| Missouri | n/a | Original 8 demonstration state; continuing participant. Enhanced-FMAP PPS reimbursement, no published per-state dollar allocation. |
| New Jersey | n/a | Original 8 demonstration state; continuing participant. |
| New York | n/a | Original 8 demonstration state; continuing participant. |
| Oklahoma | n/a | Original 8 demonstration state; continuing participant. Issues quality bonus payments to CCBHCs exceeding performance metrics. |
| Oregon | n/a | Original 8 demonstration state; continuing participant. |
| Minnesota | n/a | Original 8 demonstration state. Enhanced-FMAP PPS reimbursement, no published per-state dollar allocation. |
| Nevada | n/a | Original 8 demonstration state; in 2023 moved its CCBHC program out of the demonstration and made it a permanent part of state Medicaid. |
| Pennsylvania | n/a | Original 8 demonstration state; has since withdrawn from the demonstration. |
| Kentucky | n/a | Added from original demonstration applications when the CARES Act authorized two additional states. |
| Michigan | n/a | Added from original demonstration applications under the CARES Act. |
| Alabama | n/a | One of 10 new states selected June 4, 2024 under BSCA section 11001 (P.L. 117-159). |
| Illinois | n/a | One of 10 new states selected June 4, 2024 under BSCA section 11001. |
| Indiana | n/a | Named June 2024 as one of 10 new demonstration states; competitively selected eight CCBHC demonstration pilot sites with services beginning early 2025; four-year enhanced federal match for approved PPS rates. State invested $100,000,000 ($50M each in SFY24 and SFY25) through the state biennium budget. |
| Iowa | n/a | One of 10 new states selected June 4, 2024 under BSCA section 11001. |
| Kansas | n/a | One of 10 new states selected June 4, 2024 under BSCA section 11001. |
| Maine | n/a | One of 10 new states selected June 4, 2024 under BSCA section 11001. |
| New Hampshire | n/a | One of 10 new states selected June 4, 2024 under BSCA section 11001. |
| New Mexico | n/a | One of 10 new states selected June 4, 2024 under BSCA section 11001. |
| Rhode Island | n/a | One of 10 new states selected June 4, 2024 under BSCA section 11001. |
| Vermont | n/a | One of 10 new states selected June 4, 2024 under BSCA section 11001. |
Where the money lands
Place-of-performance obligations by state, with per-capita, sealed in the location chain.
| State | Obligated | Per capita |
|---|---|---|
| New York | $207.0M | $10.24 |
| Florida | $86.4M | $4.01 |
| California | $79.5M | $2.01 |
| Illinois | $76.7M | $5.99 |
| New Jersey | $65.6M | $7.06 |
| Michigan | $63.9M | $6.35 |
| Ohio | $58.7M | $4.98 |
| Kansas | $53.6M | $18.25 |
| Massachusetts | $53.6M | $7.62 |
| Texas | $51.9M | $1.78 |
| Washington | $48.0M | $6.23 |
| Connecticut | $38.5M | $10.68 |
| Oklahoma | $38.4M | $9.69 |
| Georgia | $34.9M | $3.25 |
| Iowa | $32.1M | $10.07 |
| Maine | $31.9M | $23.40 |
| Pennsylvania | $29.4M | $2.26 |
| Indiana | $28.3M | $4.17 |
| West Virginia | $28.1M | $15.65 |
| Mississippi | $25.6M | $8.65 |
| Rhode Island | $24.8M | $22.64 |
| Kentucky | $23.5M | $5.21 |
| Colorado | $22.6M | $3.91 |
| Louisiana | $21.9M | $4.71 |
| Arkansas | $21.5M | $7.12 |
| Maryland | $20.6M | $3.33 |
| District Of Columbia | $19.6M | $28.50 |
| Idaho | $19.0M | $10.33 |
| Nebraska | $18.8M | $9.60 |
| Montana | $18.6M | $17.17 |
| Vermont | $18.3M | $28.47 |
| Puerto Rico | $18.0M | $5.48 |
| Tennessee | $16.0M | $2.32 |
| Minnesota | $15.0M | $2.63 |
| Alaska | $15.0M | $20.40 |
| Missouri | $13.3M | $2.16 |
| Arizona | $12.9M | $1.81 |
| New Hampshire | $11.8M | $8.56 |
| Virginia | $11.7M | $1.35 |
| Utah | $11.6M | $3.55 |
| Alabama | $11.2M | $2.22 |
| New Mexico | $10.2M | $4.81 |
| Nevada | $7.3M | $2.35 |
| Wyoming | $6.9M | $12.01 |
| Wisconsin | $6.8M | $1.15 |
| North Carolina | $6.6M | $0.63 |
| Hawaii | $6.1M | $4.20 |
| South Dakota | $2.4M | $2.65 |
| Delaware | $1.8M | $1.82 |
| Oregon | $1.6M | $0.38 |
| North Dakota | $1.0M | $1.28 |
| Guam | $-117112 | $-0.76 |
Top recipients
| Recipient | Awards | Obligated | Received |
|---|---|---|---|
| OAKS INTEGRATED CARE, INC | 8 | $32.0M | $26.2M |
| JEWISH BOARD OF FAMILY AND CHILDREN'S SERVICES, INC. | 6 | $22.0M | $19.0M |
| THE THRESHOLDS | 6 | $22.0M | $13.2M |
| MENNONITE GENERAL HOSPITAL, INC | 5 | $19.0M | $14.5M |
| WESTCHESTER JEWISH COMMUNITY SERVICES, INC. | 4 | $16.0M | $13.9M |
| COMMUNITY HEALTH RESOURCES INC | 4 | $16.0M | $13.9M |
| WESTERN ARKANSAS COUNSELING AND GUIDANCE CENTER, INCORPORATED | 4 | $16.0M | $12.5M |
| ANCHORAGE COMMUNITY MENTAL HEALTH SERVICES, INC | 4 | $16.0M | $13.2M |
| LUTHERAN FAMILY SERVICES OF NEBRASKA INC | 4 | $16.0M | $13.5M |
| COMMUNITY HEALTH ASSOCIATION OF SPOKANE | 4 | $16.0M | $14.4M |
Source documents
16 primary documents, parsed and sealed by content hash.
- Protecting Access to Medicare Act of 2014, Public Law 113-93 (Section 223) statute
- CCBHC Demonstration Background (Medicaid.gov) guidance
- Section 223 Certified Community Behavioral Health Clinic (CCBHC) Demonstration: Updated PPS Guidance (Feb 15, 2024) guidance, 56 pages, 35 tables
- Certified Community Behavioral Health Clinics (CCBHCs) program page (SAMHSA) fact-sheet
- Section 223 Medicaid CCBHC Demonstration and State Programs (SAMHSA) guidance
- CCBHC Certification Criteria (SAMHSA) guidance
- CCBHC History and Background (SAMHSA) fact-sheet
- Guidance to Planning Grant States to Apply to Participate in the CCBHC Demonstration (2026) guidance, 35 pages, 2 tables
- FY2024 CCBHC Planning Grants NOFO (SM-25-001) nofo, 36 pages, 5 tables
- CMS press release: Addition of 10 New States to CCBHC Medicaid Demonstration Program (June 2024) other
- ASPE: CCBHC Demonstration Program Reports to Congress annual-report
- Indiana FSSA DMHA: Certified Community Behavioral Health Clinics agency-site
- CCBHC Improvement and Advancement Grant (SM-26-015) opportunity listing | Simpler.Grants.gov grants-portal
- CCBHC Planning, Development, and Implementation Grant (SM-26-014) opportunity listing | Simpler.Grants.gov grants-portal
- FY2026 Notice of Supplemental Funding Opportunity | Federal Register agency-site
- SAMHSA CCBHC program contact (Mary Blake, CMHS, ccbhc@samhsa.hhs.gov) per SM-23-016 announcement agency-site
Questions
- How does Certified Community Behavioral Health Clinics money reach recipients?
- Two routes. Medicaid Section 223 demonstration: a participating state certifies clinics, sets a clinic-specific Medicaid prospective payment system (PPS) rate, and pays each certified CCBHC a fixed daily (PPS-1) or monthly (PPS-2) rate per qualifying visit/encounter; the federal government reimburses the state for those CCBHC services at an enhanced FMAP equal to the state's enhanced CHIP matching rate under section 2105(b) of the Social Security Act, plus optional quality bonus payments. SAMHSA CCBHC-Expansion (CCBHC-E) route: SAMHSA awards competitive discretionary grants directly to community behavioral health organizations (not through states), up to about $1,000,000 per year for four years per grantee, paid as a cooperative agreement / grant.
- How much federal funding does Certified Community Behavioral Health Clinics represent?
- As of 2026-06-05, $2.3B was obligated across 604 active awards to 328 recipients in 52 states and 420 counties. This is a sealed point-in-time figure from USAspending, the federal system of record.
- What law authorizes Certified Community Behavioral Health Clinics?
- Certified Community Behavioral Health Clinics is authorized by Protecting Access to Medicare Act of 2014 (PAMA), Section 223 (Demonstration Programs to Improve Community Mental Health Services), administered by HHS / SAMHSA.