Saturday, May 17, 2025
5/17/2025
BHN CCBHC Program - BHN’s CCBHC Expansion project aims to increase access to high quality, integrated behavioral health and recovery supports for patients of our primary care DCOs who are diagnosed with SMI/ SED/ SUD/COD and are not successfully engaged with another BH provider or in a comprehensive wrap around program. Funding will augment our existing service components, and build infrastructure to improve access to care, and achieve a sustainable integrated, comprehensive service model of care. CCBHC participants will demonstrate measurable improvement in functioning, reduction in behavioral health symptoms and reduction in utilization of higher levels of behavioral health and medical care. Our secondary goal is to use the experience and data from this project, in partnership with our payer DCOs, to create value-based payment models. BHN proposes to strategically expand our CCBHC from the established foundation of integrated behavioral health and care management, filling in gaps in the following specific service areas: universal access to care coordination and targeted case management (to address barriers to access, silos in care and social determinants), home-based, peer supported engagement and treatment for those who can’t access clinic-based care (to address the high no show rates in clinic based care), and medication assisted treatment for substance use disorders. In addition to these service gaps, we hope to address the significant barriers to effective, quality care that are inherent in fee-for-service billing structures. We intend to accomplish these goals by focusing on the following objectives. Eighty percent of patients of our primary care DCOs will be screened at least annually for behavioral health needs by their PCP team using evidence-based tools such as PHQ and SBIRT (DAST and AUDIT). Those who screen positive will be offered a brief assessment delivered by the BHN integrated behavioral health clinician, to determine if a diagnosis of SMI/ SED/SUD/COD is appropriate. Of those with qualifying diagnoses who aren’t in appropriate treatment, we aspire to enroll 70% as CCBHC participants. Referred individuals will participate in high quality, evidence-based behavioral health treatment and recovery support services, within defined standards of care, as outlined in their care plan. Our objective is that CCBHC participants (adults, children and youth) within a year, will demonstrate a statistically significant reduction in behavioral health symptoms and a statistically significant reduction in utilization of higher levels of behavioral health and medical care, leading to decreases in total cost of care for CCBHC participants. Finally, towards the goal of restructuring payment models, we intend that by the third quarter of year one, we will have created a workflow and convened a team to review and monitor utilization and total costs of care; and by the third quarter of year two, a new Value-Based Payment Model to sustain CCBHC services and innovations will be drafted. Our total number of unduplicated CCBHC participants, meeting the criteria above, is anticipated to be 3000. BHN is requesting $2,000,000 for each year to fund this program.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).