CMS Releases Updated Guidance on Prospective Payment System for Certified Community Behavioral Health Clinic (CCBHC) Demonstration

In 2023, the Centers for Medicare & Medicaid Services (CMS) provided a forum for states, providers, and other stakeholders to comment on proposed changes to payment for services for individuals experiencing a crisis related to substance use and/or mental health.  In response to that feedback, CMS updated Prospective Payment System (PPS) guidance for the Certified Community Behavioral Health Clinic Demonstration addressing the high-cost and specialized care delivered through mobile and on-site crisis intervention.  This guidance was effective on January 1, 2024 for existing CCBHC Demonstration states, and on July 1, 2024 for newly selected states added to the program in 2024 and 2026. Requests for technical assistance may be submitted to CCBHCDemonstration@cms.hhs.gov.

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