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Program / CCBHC
Certified Community Behavioral Health Clinics
The Medicaid demonstration that pays community behavioral health clinics a cost-based rate for a full set of mental health and substance use services. VerisGov tracks which states run it and how.
Coverage Healthcare and Medicaid
At a glance
- Program
- Certified Community Behavioral Health Clinic (CCBHC) Section 223 Medicaid Demonstration
- Administering agencies
- CMS for Medicaid payment and SAMHSA for certification criteria, both within HHS
- Statutory authority
- Section 223 of the Protecting Access to Medicare Act of 2014
- Funding mechanism
- Medicaid demonstration. States pay certified clinics through a cost-based Prospective Payment System with an enhanced federal match
- Money flow
- Federal match to the state Medicaid agency to certified clinics
- Who has a stake
- State Medicaid and behavioral health agencies, community behavioral health providers, and the vendors who support them
What it is
Certified Community Behavioral Health Clinics (CCBHCs) are community clinics certified to deliver a defined set of mental health and substance use services. The Section 223 Medicaid Demonstration lets participating states pay them through a cost-based Prospective Payment System rather than standard fee schedules.
It is a joint program. SAMHSA sets the certification criteria the clinics must meet, and CMS runs the Medicaid demonstration and the payment model. It was created by Section 223 of the Protecting Access to Medicare Act of 2014.
A separate SAMHSA grant track, the CCBHC Expansion grants, funds clinics competitively and is distinct from the Medicaid demonstration. Which states participate, and when new states join, changes over time.
Key facts
- Program Certified Community Behavioral Health Clinic (CCBHC) Section 223 Medicaid Demonstration
- Administering agencies CMS for Medicaid payment and SAMHSA for certification criteria, both within HHS
- Statutory authority Section 223 of the Protecting Access to Medicare Act of 2014
- Funding mechanism Medicaid demonstration. States pay certified clinics through a cost-based Prospective Payment System with an enhanced federal match
- Money flow Federal match to the state Medicaid agency to certified clinics
- Who has a stake State Medicaid and behavioral health agencies, community behavioral health providers, and the vendors who support them
Required services
- Crisis mental health services
- Screening, assessment, and diagnosis
- Person-centered treatment planning
- Outpatient mental health and substance use treatment
- Targeted case management and care coordination
- Peer, counselor, and family support services
Always current
What VerisGov keeps current
The facts above hold for years. These move, and they are where most of the work is. The engine tracks each one against its government source, so what you see is the live state, not a snapshot that quietly went out of date.
- Which states operate the demonstration, and when new states are added
- Each state's Prospective Payment System rate methodology
- Certification criteria updates from SAMHSA
- The separate CCBHC Expansion grant cycles
How VerisGov covers it
The same engine runs on this program that runs on every domain: find the primary sources, verify and source-pin each fact, and productize it into something your team can use.
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Verify and source-pin each fact
Every figure, rule, and deadline is checked against its government source and pinned to it, so a claim on the page traces back to the document it came from. When a detail is uncertain, it stays qualitative.
PRODUCTIZE
Productize it for your team
The verified corpus becomes a navigator, dashboard, report, dataset, or custom build, shaped to how your team works and refreshed as the program moves.
Pinned to records published by
- Centers for Medicare and Medicaid Services (CMS)
- Substance Abuse and Mental Health Services Administration (SAMHSA)
Answers
Frequently asked questions
What is a CCBHC?
A Certified Community Behavioral Health Clinic is a community clinic certified to deliver a defined set of mental health and substance use services. The Section 223 Medicaid Demonstration pays participating clinics through a cost-based rate.
Who administers the CCBHC demonstration?
It is joint: SAMHSA sets the clinic certification criteria and CMS runs the Medicaid demonstration and payment. Both sit within HHS.
Is CCBHC a SAMHSA grant?
The Section 223 Demonstration is a Medicaid payment program run by CMS. SAMHSA also funds a separate, competitive CCBHC Expansion grant track; the two are distinct.
How does VerisGov help with CCBHC?
VerisGov finds the primary CMS and SAMHSA sources, verifies and source-pins each fact, and keeps the participating states, payment methodologies, and certification updates current against their origin.
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