Advisory Council October 2019 Meeting Announcement
Advisory Council October 2019 Meeting Announcement
Printer Friendly Version in PDF Format (1 PDF page)
Advisory Council July 2019 Meeting Summary
ADVISORY COUNCIL ON ALZHEIMER'S RESEARCH, CARE, AND SERVICES
July 29, 2019
Washington, D.C.
Printer Friendly Version in PDF Format (23 PDF pages)
WELCOME AND CHARGE FOR MEETING
Laura Gitlin, Ph.D., Chair
Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2018. Pennsylvania
State Population
(in millions)
DY1--Total to Receive CCBHC Services
(all pay sources)
DY1--Projected CCBHC Consumers
who are Medicaid Recipients*
12.81
Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2018. Oregon
State Population
(in millions)
DY1--Total to Receive CCBHC Services
(all pay sources)
DY1--Projected CCBHC Consumers
who are Medicaid Recipients*
4.14
Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2018. Oklahoma
State Population
(in millions)
DY1--Total to Receive CCBHC Services
(all pay sources)
DY1--Projected CCBHC Consumers
who are Medicaid Recipients*
3.93
Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2018. New York
State Population
(in millions)
DY1--Total to Receive CCBHC Services
(all pay sources)
DY1--Projected CCBHC Consumers
who are Medicaid Recipients*
19.85
Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2018. New Jersey
State Population
(in millions)
DY1--Total to Receive CCBHC Services
(all pay sources)
DY1--Projected CCBHC Consumers
who are Medicaid Recipients*
9.01
Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2018. Nevada
State Population
(in millions)
DY1--Total to Receive CCBHC Services
(all pay sources)
DY1--Projected CCBHC Consumers
who are Medicaid Recipients*
3.00
Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2018. Missouri
State Population
(in millions)
DY1--Total to Receive CCBHC Services
(all pay sources)
DY1--Projected CCBHC Consumers
who are Medicaid Recipients*
6.11
Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2018. Minnesota
State Population
(in millions)
DY1--Total to Receive CCBHC Services
(all pay sources)
DY1--Projected CCBHC Consumers
who are Medicaid Recipients*
5.58
Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2018. Fast Facts: Demonstration Claiming
Fast Facts: Demonstration Claiming
Under the Demonstration, states do not need Medicaid state plan authority to claim for CCBHC services.
States may report only expenditures for demonstration services provided to Medicaid beneficiaries during the effective dates of a state's demonstration program.
Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2018. Matching Rates for Demonstration Expenditures
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 p
Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2018. Paying for Services Provided to Dually Eligible Beneficiaries
Certain Medicare beneficiaries are eligible for some level of Medicaid assistance. These individuals are often referred to as "dually eligible" beneficiaries. Section 223 requires states to pay up to the PPS rate for demonstration services provided to dually eligible beneficiaries for whom the state must share in the cost of direct services, rathe
Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2018. Prospective Payment System Rates
States set clinic-specific rates based on the expected cost of providing demonstration services divided by the expected total number of demonstration visits, regardless of payer. In evaluating the expected cost of care, states and the CCBHCs reported that their costs took into consideration factors such as the expected number of demonstration enco
Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2018. Requirement 5: Quality and Other Reporting
The clinic reports encounter data, clinical outcomes data, quality data, and such other data as the Secretary requires.
Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2018. Requirement 4: Scope of Services
CCBHCs provide, in a manner reflecting person-centered care, the following services:
Crisis mental health services, including 24-hour mobile crisis teams, emergency crisis intervention services, and crisis stabilization.
Screening, assessment, and diagnosis, including risk assessment.
Patient-centered treatment planning or si
Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2018. Requirement 3: Care Coordination
Coordinated care across settings and providers promotes seamless transitions for patients across the full spectrum of health services, including physical and MH/SUD needs. The clinics maintain partnerships or formal contracts with the following:
FQHCs and Rural Health Clinics (as applicable).
Inpatient psychiatric facilities and su
Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2018. Requirement 2: Availability and Accessibility of Services
The clinic provides 24-hour crisis management services, a sliding scale for payment, and does not reject or limit services by the patient's ability to pay or place of residence.
Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2018. Requirement 1: Staffing
Staff have diverse disciplinary backgrounds, have necessary state-required license and accreditation, and are culturally and linguistically trained to serve the needs of the clinic's patient population.
