Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2018. Matching Rates for Demonstration Expenditures

09/10/2019

Under this demonstration, a state may only claim expenditures for services provided to Medicaid beneficiaries. Consistent with Section 223(d)(5) of PAMA, the matching rates for demonstration expenditures are as follows:

  • For services provided to newly eligible Medicaid beneficiaries enrolled in the New Adult Eligibility Group as described in paragraph (2) of Section 1905(y) of the Social Security Act (42 U.S.C. 1396(y)), expenditures are matched at the newly eligible FMAP rate applicable under paragraph (1) of that section.

  • For demonstration services provided by CCBHCs that are IHS or tribal facilities and furnished to American Indian and Alaskan Natives, the expenditures are matched at 100 percent.

  • For services provided to targeted low-income children in a Children's Health Insurance Program (CHIP) Medicaid expansion program, expenditures are matched at the enhanced FMAP at Section 2105(b), including the 23-percentage-point increase in effect October 1, 2015-September 30, 2019. (Of note: These expenditures are also applied against the state CHIP allotment.) Reporting will only affect the Maternal and Child Health Integrated Program (CMS-64.21) for CHIP. It does not apply to the CMS-21 standalone CHIP.

  • For all other services, expenditures are matched at the CHIP enhanced FMAP at Section 2105(b), without applying the 23-percentage-point increase in effect October 1, 2015-September 30, 2019.