Build a Sustainable CCBHC Model for Your State or Organization
Health Management Associates (HMA) provides Certified Community Behavioral Health Clinic (CCBHC) consulting to state Medicaid agencies, behavioral health authorities, and behavioral health providers, from strategy and certification through prospective payment system (PPS) rate development, implementation, quality reporting, and health information technology (IT). Our team has supported 20 states with CCBHC planning and demonstration program activities, as well as more than 100 providers with designation and implementation.
With deep involvement in the CCBHC model from its earliest development through today’s expanding national landscape, we partner with states, behavioral health authorities, providers, and other stakeholders to design, finance, implement, and continuously strengthen programs that expand access, improve care, and support long-term sustainability.
Our multidisciplinary team brings expertise in behavioral health policy, clinical and operational transformation, Medicaid, actuarial and financial analysis, certification, quality improvement, and health IT. With one team, you can address CCBHC implementation as an interconnected system rather than as a series of isolated requirements.
Services Across the Full Implementation Life Cycle
Wherever you are in your CCBHC journey, you need a clear view of how the model can advance your broader behavioral health system and organizational goals. Examples of our support include:
- State and organizational strategy
- Program and service delivery design
- Demonstration planning and implementation
- SAMHSA (Substance Abuse and Mental Health Services Administration) grant strategy and application support
- Implementation planning and change management
Federal CCBHC certification requirements have to work in practice. We turn them into viable certification approaches for states and build the capacity providers need to meet those expectations.
Support may include:
- Certification standards and processes
- Policy and regulatory development
- Provider manuals and implementation resources
- Certification readiness and gap assessments
- Provider training and technical assistance
- Operational implementation planning
A sustainable CCBHC depends on payment that reflects the realities of service delivery. Our team combines CCBHC program expertise with actuarial and financial capabilities to connect the PPS methodology to the way you provide care.
Our capabilities include:
- Cost report development and technical assistance
- PPS rate methodology and development
- Financial modeling and sensitivity analysis
- Cost allocation and utilization analysis
- PPS financial management
- Revenue cycle and billing operations
- Rate monitoring, maintenance, and rebasing preparation
- Long-term financial sustainability planning
CCBHC requirements only succeed when they fit how your organization operates. We translate them into practical operating models that work within your organization and systems of care.
Our team can support:
- Service and staffing models
- Clinical and operational workflows
- Access and service delivery strategies
- Care coordination
- Crisis services
- Workforce strategy
- Project management and implementation support
- Continuous operational improvement
CCBHC success depends on using information not only for federal and state reporting, but also to enhance care delivery and organizational performance.
Areas of support include:
- Quality measurement and reporting
- Performance monitoring
- Quality improvement strategies
- Data collection and reporting approaches
- Population health and performance management capabilities
- Alignment of program, financial, and quality objectives
Can your technology and information management infrastructure support the clinical, financial, quality, and administrative requirements of the CCBHC model? We work with states and providers to find out and to plan next steps.
Our work addresses:
- Electronic health record (EHR) and CCBHC reporting requirements
- Data and system readiness assessments
- Billing and payment system requirements
- Data exchange and interoperability
- Data repositories and reporting infrastructure
- Technology roadmaps and implementation planning
CCBHC Consulting for State Medicaid Agencies and Behavioral Health Authorities
Each state’s behavioral health system is unique. We work alongside state Medicaid agencies, behavioral health authorities, and other state partners to build CCBHC models that fit your state’s specific system.
Our state-level support can span:
- Strategy, demonstration planning, and implementation
- Certification standards, processes, and policy development
- PPS rate methodology, cost report development, and rate development
- Service delivery and quality requirements
- Provider manuals, training, and technical assistance
- Data, reporting, and health IT infrastructure
This integrated approach helps states consider how decisions about certification, service requirements, payment, operations, and data affect one another throughout planning and implementation.
Why Choose HMA for CCBHC Consulting?
Deep CCBHC Experience: Our experts have supported states and providers across the country with planning, designation, financing, implementation, and ongoing operations.
One Multidisciplinary Team: Our program experts collaborate with actuarial, Medicaid, clinical, operational, financial, quality, and technology specialists so that decisions made in one area are understood in the context of the entire CCBHC model.
From Policy to Practice: We understand both the requirements that define the CCBHC model and the day-to-day realities of implementing those requirements within behavioral health organizations and state systems.
Financial and Operational Alignment: CCBHC financing is inseparable from program design. We help you connect payment methodology and financial assumptions to staffing, services, utilization, workflows, quality expectations, and organizational strategy.
Hands-On Implementation Support: You get more than recommendations. We partner with you to translate strategy into tools, workflows, policies, training, and implementation activities that support long-term CCBHC operations.
HMA Experience at a Glance
- 20 States: Supported with CCBHC planning and demonstration activities
- Over 100 Providers: Supported with CCBHC designation and implementation, including both demonstration providers and SAMHSA grantees
Building for Long-Term Sustainability
Our integrated team supports you from strategy and readiness through implementation, optimization, and long-term sustainability.
Frequently Asked Questions About CCBHC Implementation
What is a Certified Community Behavioral Health Clinic?
A Certified Community Behavioral Health Clinic (CCBHC) is a behavioral health provider that meets federal criteria for delivering comprehensive, coordinated behavioral health care, including crisis services and care coordination. Organizations can become CCBHCs through a state Medicaid demonstration or with SAMHSA grant funding.
What does CCBHC implementation involve?
CCBHC implementation is more than a certification exercise. It requires states and organizations to align program design, clinical operations, workforce, financing, data, technology, and quality around a sustainable model of comprehensive behavioral health services.
What is the CCBHC PPS, and how does HMA support CCBHC rate setting and cost reporting?
The CCBHC prospective payment system (PPS) is a Medicaid payment methodology designed to reflect the cost of delivering CCBHC services. HMA’s team combines CCBHC program expertise with actuarial and financial capabilities to support CCBHC cost report development and technical assistance, PPS rate-setting methodology and development, financial modeling and sensitivity analysis, rate monitoring and maintenance, rebasing preparation, and planning for long-term financial sustainability.
How does HMA help states implement CCBHCs?
State Medicaid agencies, behavioral health authorities, and other state partners work with HMA to build CCBHC models that fit each state’s behavioral health system. State support can include CCBHC strategy, demonstration planning, certification standards and processes, PPS rate methodology and development, quality and service requirements, provider training and technical assistance, and data and health IT infrastructure.
How does HMA help providers prepare for CCBHC certification and implementation?
Providers can work with HMA to assess CCBHC feasibility and strategy, develop SAMHSA grant or state CCBHC applications, prepare for certification through criteria gap assessments and work planning, implement clinical and operational models, prepare cost reports and PPS readiness, and plan for workforce, quality, data, and billing and revenue cycle needs. Support is tailored to the organization’s stage, whether it is exploring CCBHC, preparing for certification, implementing a newly awarded grant, entering a state demonstration, or strengthening an established CCBHC.
