These are two separate activities with different funding sources:
No, not under current law. The Minnesota Legislature would need to change state law and provide additional matching funds before additional CCBHCs could be included for Medicaid PPS payments.
The purpose of this program is to increase access to and improve the quality of community behavioral health services through the expansion of CCBHCs.
CCBHC Expansion is one of SAMHSA’s services grant programs. SAMHSA intends that its services programs result in the delivery of services as soon as possible after award. At the latest, award recipients are expected to provide services to the population(s) of focus by the fourth month after the grant has been awarded.
Collaboration with the state behavioral health authority and state Medicaid Office is expected.
You must use SAMHSA’s services grant funds primarily to support direct services. This includes the following activities:
The SAMHSA FOA includes the following statement on page 11:
Recipients must utilize third party and other revenue realized from provision of services to the extent possible and use SAMHSA grant funds only for services to individuals who are not covered by public or commercial health insurance programs, individuals for whom coverage has been formally determined to be unaffordable, or for services that are not sufficiently covered by an individual’s health insurance plan. Recipients are also expected to facilitate the health insurance application and enrollment process for eligible uninsured clients. Recipients should also consider other systems from which a potential service recipient may be eligible for services (for example, the Veterans Health Administration or senior services), if appropriate for and desired by that individual to meet his/her needs. In addition, recipients are required to implement policies and procedures that ensure other sources of funding are utilized first when available for that individual.
DHS comment: see also the following statement in the DHS MHCP Provider Manual regarding Medicaid and Medicare “payment in full” provisions:
A provider must accept MHCP (including MA) reimbursement as payment in full for covered services provided to a recipient. A provider may not request or accept payment from a recipient, a recipient's relatives, the local human services agency, or any other source, in addition to the amount allowed under MHCP, unless the request is for one of the following:
No. If the grant is used for Medicaid recipients in that way, it would probably be in conflict with Medicaid “payment in full” provisions. The PPS wrap payment for the existing CCBHCs is based on provisions in the Section 223 demo that allow the wrap payment to supplement existing Medicaid and Medicare payments. This authority is limited to the 6 CCBHCs in the demo. The SAMHSA grant does not have similar authority.
Since new CCBHCs are not eligible for the Medicaid PPS, a cost report is not required prior to certification. Instead, the FOA has a grant budget which focuses on use of proposed use of grant funds. Matching funds are not required for the grant. Grantees will be required to file expenditure reports detailing how the grant was used. It is not clear whether that will take the place of the cost report which is required by CCBHC criterion 5.a.5 after the first year.
Based on new information from SAMSHA’s June 14 webinar, Minnesota DHS has 2 roles:
Applicants are required to submit their PHSIS to DHS by July 9, 2018, i.e. by the same deadline that applies to grant submission to SAMHSA. DHS review of the PHSIS is due to SAMHSA within 60 days after the grant submission deadline. The PHSIS should be e-mailed to:
For more information regarding the existing CCBHC certification process, please contact firstname.lastname@example.org