February 15, 2024

Updated Certified Community Behavioral Health Clinic (CCBHC) Prospective Payment System (PPS) Technical Guidance

On February 15, 2024, CMS released Updated CCBHC PPS Technical Guidance for states on developing clinic-specific PPS rates, cost reporting, and claiming Medicaid expenditures. The new guidance supports expansion and extension of the CCBHC Demonstration program authorized under section 223 of the Protecting Access to Medicare Act as amended by section 11001 of the Bipartisan Safer Communities Act, and includes additional payments and flexibilities for CCBHCs, most notably new PPS rate options for special crisis services and updated guidance on developing quality bonus payments. All states participating in the CCBHC Demonstration program are expected to come into compliance with the updated PPS guidance by the start of the demonstration year beginning on or after July 1, 2024.