Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2018. Missouri

09/10/2019

State Population
(in millions)
DY1--Total to Receive CCBHC Services
(all pay sources)
DY1--Projected CCBHC Consumers
who are Medicaid Recipients*
6.11 127,083 87,284
Number as of
March 2018
Population Density of
Clinic Service Area
Organizational
Structure
Number of CCBHCs
also Certified as...
Number
of DCOs
in State
CCBHCs Service
Locations
Urban Urban/
Rural
Rural/
Frontier
Government
Run
Non-Profit
Organizations
FQHCs Health
Homes
15 201** 4 5 6 0 15 4 15 3
State Impact Measures
  • Provide the most complete scope of services to individuals eligible for medical assistance under the state Medicaid program.
  • Improve availability of, access to, and participation in services to individuals eligible for medical assistance under the state Medicaid program.
  • Improve availability of, access to, and participation in assisted outpatient mental health treatment in the state.
* This estimate may include dual-eligible Medicaid and Medicare recipients.
** The large number of service locations in Missouri is due to multiple locations throughout large geographic areas of coverage. Service locations often are service-specific (e.g., a medication clinic, a children's outpatient program, a psychosocial rehabilitation program, a community support office, or a rural outreach clinic open 1 day a week).
State map of Missouri.

State Entity Responsible for Monitoring Compliance

Missouri Division of Behavioral Health (DBH)

Monitoring Instrument

Demonstration Application Guidance, State's Compliance with CCBHC Criteria Checklist

Method and Frequency of Monitoring

  • Based on quarterly reports, CCBHC practice coaches conduct site visits to review progress and provide technical assistance onissues relevant to implementation of the demonstration program. Practice coaches submit written reports of their site visits to DBH and meet regularly with DBH staff to share progress of their assigned CCBHCs.

  • CCBHCs submit quarterly reports on thefollowing:

    • Aggregated Daily Living Activities.

    • Numberof contacts categorized as urgent and routine.

    • Percentage of urgent contacts in which an initial evaluation was completed within 1 business day.

    • Percentage of routine consumer contacts in which an initial evaluation was completed within 10 business days.

    • Mean number of days from first contact to completion of an initial evaluation forurgent and routine contacts.

    • Mean number of days before comprehensive diagnostic and planning evaluations are completed.

    • Number of peer specialists, family support providers, and Missouri Recovery Support Specialist Peers employed.

  • Other quarterly reports are generated and reviewed by DBH in collaboration with the Coalition for Community Behavioral Healthcare:

    • Participation in required governing board and consumer/family member leadership training.

    • Outpatient SUD services and MAT provided.

    • Participation in required EBPs training and learning collaboratives (e.g., trauma, suicide prevention).

    • Tobacco cessation services provided.

    • Documentation of client's military service.

    • Accreditation/certification status.

Additional Safeguards

  • CCBHCs are required to submit their proposed health screen for approval by DBH and to submit reports and data required for various DBH programs. They also submit performance measure and program evaluation data, an annual staffing plan, and an annual cost report.

  • Practice coaches trained on the objectives of the demonstration program and the SAMHSA CCBHC certification criteria are assigned to CCBHCs to detect and resolve implementation problems, identify and share best practices for implementation, and promote consistency.

  • Technical assistance is provided through regularly scheduled conference calls and webinars.