Certified Community Behavioral Health Clinics (CCBHCs)

CCBHC Prospective Payment System Demonstration Project

In October, 2015, Missouri was one of 24 states that received a Planning Grant from the federal Substance Abuse Mental Health Services Administration (SAMHSA) to prepare for implementing a federal demonstration project designed to pilot implementation of a Medicaid prospective payment system for community behavioral health services provided by organizations meeting new national standards for community behavioral healthcare.

In December 2016, Missouri was one of only eight (8) states selected by SAMHSA and the Centers for Medicare/Medicare Services (CMS) to actually pilot the prospective payment system.

The Division of Behavioral Health (DBH) currently have 22 community behavioral healthcare organizations serving all of Missouri's 114 counties.  The community behavioral health organizations are compliance with the new federal standards for “Certified Community Behavioral Health Clinics" (CCBHCs), and are eligible to participate in the Demonstration Project. CCBHCs are required to provide:

  • Crisis Mental Health Services
  • Screening, Assessment and Diagnosis
  • Patient-centered Treatment Planning
  • Outpatient Mental Health and Substance Use Disorder Treatment Services
  • Screening and Monitoring of Health Risks and Status
  • Targeted Case Management
  • Psychiatric Rehabilitation
  • Peer and Family Support Services

The populations of focus for the Demonstration Project in Missouri include:

  • Adults with serious mental illness
  • Children and adolescents with serious emotional disorders
  • Children, adolescents and adults with moderate to severe substance use disorders
  • Children and adolescents in state custody who have behavioral health issues
  • Young adults with mental illness or substance use disorders identified as in need of treatment by the courts, law enforcement, or hospital emergency rooms.

CCBHCs are required to provide services to members of the armed forces and veterans consistent with guidelines set forth by the Veterans Administration.

The Demonstration Project (which began on July 1, 2017, and runs through September 30, 2025) is designed to convert Medicaid reimbursement for community behavioral health services from a fee-for-service reimbursement system to a prospective payment system while improving the availability, accessibility, and quality of community behavioral healthcare.  

General Information

CCBHO Reporting Measures

CCBHC Impact Reports

Information for Managed Care Organizations (MCO)
Information for Providers

Information

Regulations

CCBHC ASAM Implementation

Clinical Bulletins