Contact: | CCBHC State Planning Grants, Certification Criteria, and Payment Guidance National Council for Behavioral Health

Contact: | Key Dates May 20, 2015 – RFA Announcement June 8 and June 10, 2015 – SAMHSA Pre-Application Webinars June 17 – National Council webinar August 5, 2015 – Planning Grant Applications due from the states October 2015 – Planning Grants awarded to the states October 2016 – Applications due from states to be part of the 2 year Demonstration Program January 1, 2017 – Up to Eight States are selected to participate in the 2 Year Demonstration

Contact: | Application information Due August 5, 2015 Awards up to $2 million Estimated number of awards: 25 Planning phase: 1 year Eligible applicants: State Mental Health Authorities, Single State Agencies, State Medicaid Agencies

Contact: | Planning Phase Details One year – October 2015 to October 2016 Activities during the year: A. Solicit input B. Certify clinics (at least two, can be all) C. Establish a PPS D. Develop capacity to provide CCBHC services E. Develop or enhance data collection and reporting capability F. Prepare for participation in national evaluation G. Submit a proposal 8 selected states allowed no-cost extension to finish planning activities

Contact: | Required Services Outpatient MH/SA Targeted Case Management Psychiatric Rehab Peer support Pt. Centered treatment planning Primary Health Screening & Monitoring Screening, assessment, diagnosis Armed Forces and Veteran’s Services Crisis Services (if needed)

Contact: | Certification Criteria: Key Changes Governance: “meaningful participation” “Directly by” CCBHC: Designated Collaborating Organizations (DCOs) Assessments: 60d initial and 90d re-assess Staffing: appropriate for size, target, services EBPs: state-determination

Contact: | MTM Certification Criteria Readiness Tool Self-assessment tool based on final CCBHC criteria Objective measurement of preparedness Individual or state- wide applicability

Contact: | Prospective Payment System (PPS) Activities during the Planning Phase Decide: FQHC-like daily payment or Alternative monthly PPS Determine clinic-specific PPS Develop actuarially sound rates for payments made through managed care “Prepare” to collect cost reports

Contact: | Federal Match for States Federal Match (FMAP) follows beneficiary eligibility: Regular Medicaid: Enhanced FMAP Expansion population: 100% now, down to 90% by 2020 Medicaid CHIP Expansion: Enhanced FMAP +23% Served by Indian Health Services Clinics: 100% State plan authority not necessary for payment for CCBHC services delivered by certified clinics States may claim administrative expenditures that support the development and implementation of the demonstration

Contact: | Participating states will select 1 of 2 PPS rates 1. FQHC-like PPS ●Reimbursement of cost on daily basis 2. CC PPS Alternative ●Reimbursement of cost on monthly basis Both PPS Quality Bonus Payments Optional for FQHC-like PPS Option Required for Alternative PPS Option PPS Rate will include cost of DCO services PPS Rate Methodology

Contact: | Rate ElementCC PPS-1CC PPS-2 Base rateDaily rateMonthly rate Payments for services provided to clinic users with certain conditions NASeparate monthly PPS rate to reimburse CCBHCS for the higher costs associated with providing all services necessary to meet the needs of special populations. Update factor for demonstration year 2 Medicare Economic index (MEI) or rebasing MEI or rebasing Outlier paymentsNAReimbursement for portion of participant costs in excess of threshold Quality bonus paymentOptional bonus payment for CCBHCs that meet quality measures detailed on page 7 Bonus payment for CCBHCs that meet quality measures detailed on page 7.

Contact: | Demonstration Year 1 Rates Cost and visit data gathered during planning phase; May include estimated costs for services/items projected for demo phase Updated by Medicare Economic Index (MEI) Demonstration Year 2 Rates Update of DY1 rates with MEI Or Rebasing Costing and Rebasing

Contact: | Intersection with Managed Care State Options 1. Fully incorporate the PPS payment into the managed care capitation rate; or 2. Use a reconciliation process to make a wraparound supplemental payment to ensure that the total payment is equivalent to CCBHC PPS.

Planning Grant Status June 8, 2015 – 17 Green Light

Contact: | Political Priority States for Demo Expansion California Georgia Idaho Indiana Iowa Kansas Nevada New Hampshire New Jersey N. Carolina Ohio Pennsylvania S. Carolina South Dakota Tennessee Texas Wyoming

Contact: | National Council Activities Assisting states with planning grant applications Toolkit, including New fact sheet Detailed RFP summary Introductory PowerPoint for stakeholders to use Overview of key planning considerations MTM Certification Criteria Readiness Tool National webinar on June 17