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

09/10/2019

State Population
(in millions)
DY1--Total to Receive CCBHC Services
(all pay sources)
DY1--Projected CCBHC Consumers
who are Medicaid Recipients*
3.00 7,305** 5,844**
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
3 3 1 0 2 0 3 0 0 1
State Impact Measures
  • Improve availability of, access to, and participation in services to individuals eligible for medical assistance under the state Medicaid program.
* This estimate may include dual-eligible Medicaid and Medicare recipients.
** Nevada initially certified four clinics. In March 2018, a CCBHC withdrew from the demonstration after Nevada revoked its certification, resulting in a drop from two urban service areas to one. The data in this cell reflects the information gathered before this change.
State map of Nevada.

State Entities Responsible for Monitoring Compliance

  • The Nevada Department of Health and Human Services (DHHS) CCBHC Executive Committee oversees monitoring and oversight.

  • The Division of Health Care Financing and Policy (DHCFP), in conjunction with the Center forHealth Information Analysis (CHIA), monitors data and utilization compliance.

  • The Bureau of HealthCare Quality and Compliance (BHCQC) reviews certification compliance.

Monitoring Instrument

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

Method and Frequency of Monitoring

  • The CCBHC Executive Committee reviews all data and reports as part of its mission to maintain CCBHC compliance during the 2-year demonstration program. The committee includes the DHHS director and staff representatives; division administrators for the Division of Public and Behavioral Health (DPBH), Division of Child and Family Services, Division of Welfare and Supportive Services, and DHCFP; and the CCBHC project director.

  • CHIA and DHCFP's Data Analytics Unit collect and analyze CCBHC-led and state-led measures quarterly to ensure CCBHCs are meeting goals for process and outcome data. A summary of the CQI quality measures is provided to each CCBHC quarterly to review progress over time, alignment with goals, and opportunity to address areas in need of improvement. CQI plans include suicide deaths or attempts, 30-day readmissions, and all CCBHC-led quality measures.

  • DHHS' Surveillance and Utilization Review (SUR) Unit conducts fiscal reviews to identify and recover overpayments made to Medicaid providers due to potential fraud, waste, abusive billing, and other improper payments. Review occurs bi-annually or more frequently if warranted. The SUR Unit also reviews any complaints or referrals received.

  • BHCQC provides on-site compliance reviews twice per year throughout the duration of the demonstration program. On-site reviews include staff who can provide on-site and off-site technical assistance to CCBHCs should the need arise. Should deficiencies be identified on these visits, formal remediation efforts occur and include letters of deficiencies and plans of correction. Should a CCBHC require a plan of correction, additional monitoring of plan and agency, including furtheron-site review, is conducted as needed until the situation is resolved.

Additional Safeguards

  • A summary of all 21 quality measures for each CCBHC is provided to the executive committee to identify successes and areas in need of technical assistance. These data are reported to SAMHSA annually and used to determine achievement of benchmarks established for QBPs.

  • CCBHCs meet with the core team (representatives from DPBH and DHCFP) twice a month to discuss a variety of topics and to engage in cooperative learning. The core team provides technical assistance through learning communities to support CCBHCs in maintaining and reporting fidelity to specific EBPs.

  • DPBH assigned a program monitor to each CCBHC to assist in the review of fidelity measures and data related to the CQI plan. The program monitor works with the CCBHC to review results and develop plans, as needed, to ensure CQI. The program monitor is available to provide training or technical assistance when deemed appropriate.