2024 CCBHC Impact Report

June 3, 2024

Message from the National Council:

Today, the National Council released new data illustrating the success of the Certified Community Behavioral Health Clinic (CCBHC) model, especially among Medicaid CCBHCs.The 2024 CCBHC Impact Report shows that CCBHCs:

  • Are serving more people: 79% reported that the number of people their organization serves has increased since becoming a CCBHC. Access gains were particularly pronounced among CCBHCs whose states have adopted the model through Medicaid, which saw a 33% increase in the number of clients served.
  • Expand access to substance use care: 87% of CCBHCs report offering one or more forms of medication-assisted treatment (MAT) for opioid use disorder, compared to only 64% of substance use treatment facilities nationwide.
  • Provide overdose prevention and support: 60% have already implemented the new Substance Abuse and Mental Health Services Administration (SAMHSA) CCBHC certification requirement of ensuring that individuals and/or families have access to naloxone for overdose reversal, ahead of the July 2024 deadline. 56% provide support following a nonfatal overdose, after the individual is medically stable.
  • Meet children, youth and families where they are: 83% of CCBHCs provided services on-site in one or more schools, child care or other youth-serving settings.
    • 68% of Medicaid CCBHCs and established grantees reported the number of children/youth they serve has increased, and 24% indicated the increase was substantial.
  • Support crisis care: More than 80% of CCBHCs are working in partnership with 988 Suicide & Crisis Lifeline call centers.
    • 29% of clinics have added mobile crisis response, greatly expanding access for underserved communities, particularly in rural areas.
  • Work with law enforcement and correctional facilities: Nearly all CCBHCs – 98% – are actively engaged in partnership with criminal justice agencies to improve interactions with people who have mental health needs.
    • 85% have partnerships with courts, and 63% are increasing outreach to people with criminal legal involvement.
  • Address health disparities and social determinants of health: CCBHCs have engaged in targeted access expansions to address health disparities, including 75% reporting increased outreach for individuals in historically underserved communities.
  • Create jobs: Medicaid CCBHCs and established grantees hired 11,292 new positions last year, or a median of 15 new positions per clinic.
    • Hiring was greatest among Medicaid CCBHCs, which reported a median of 22 new positions per clinic. Licensed clinicians, peer support specialists, care coordinators and nurses were among the most commonly hired staff.
    • 67% of Medicaid CCBHCs and established grantees hired staff with a substance use focus.

Download the 2024 CCBHC Impact Report to learn more.

To ensure the continued success of the CCBHC model, further action is needed to cement the payment structure within Medicaid and establish CCBHCs in Medicare so everyone in need of mental health or substance use care can access it through a CCBHC. 

To that end, Reps. Doris Matsui (D-Calif.), Larry Bucshon (R-Ind.), Marc Molinaro (R-N.Y.), Angie Craig (D-Minn.) and Paul Tonko (D-N.Y.) introduced the bipartisan Ensuring Excellence in Mental Health Act (H.R.8543) in the House of Representatives on May 23. Introduction in the House follows the Senate introduction of S.2993 by Sens. Debbie Stabenow (D-Mich.) and John Cornyn (R-Texas) in September 2023. The legislation will:

  • Permanently authorize a Medicaid payment system for the CCBHC model.
  • Establish a definition of services and prospective payment system for CCBHCs under Medicare, ensuring that CCBHCs can also provide behavioral health care for older adults.
  • Establish a new certification and accreditation process for CCBHCs and a technical assistance program at the U.S. Department of Health and Human Services (HHS) to encourage program integrity and quality of care.
  • Authorize expansion grants for certified or potential CCBHCs to expand clinics’ ability to provide comprehensive care.
  • Authorize a new data infrastructure system for CCBHC data reporting.