FY2025 Cooperative Agreements for Certified Community Behavioral Health Clinic Planning Grants - State of Hawaii - The Hawaii State Department of Health (HI DOH) is proud of its existing behavioral health services, but recognizes opportunities to expand comprehensive, patient-centered, trauma informed, and evidence-based care for individuals with significant behavioral health challenges. Through the Certified Community Behavioral Health Clinic (CCBHC) initiative, HI DOH aims to serve 1,500 individuals annually, focusing on those with Serious Mental Illness (SMI), youth with Serious Emotional Disturbance (SED), and co-occurring, mental health and substance use disorders (SUD). Over the four-year CCBHC Demonstration program, excluding the initial one year planning phase, the program is expected to serve a total of 6,000 people across the state. The initiative will prioritize underserved populations, including Native Hawaiians, Pacific Islanders, immigrants, low-income families, and rural residents on Neighbor Islands like Molokai and Kauai, where access to care is limited. Building on the success of the Maui CCBHC, which serves as a model for comprehensive, integrated behavioral health care, the program will expand statewide to benefit geographically isolated communities and historically underserved groups, such as individuals experiencing homelessness and Native Hawaiian and Pacific Islander populations facing cultural and language barriers. With CCBHC funding, the Hawaii Adult Mental Health Division (AMHD) in collaboration with the Hawaii Behavioral Health Administration (BHA), Med-Quest Division of the Hawaii Department of Human Services (DHS), and other key community stakeholders, will further integrate behavioral health services with the broader healthcare system, aligning Medicaid reimbursement through the Prospective Payment System (PPS-4) to ensure sustainable, standardized and crisis care. This will enhance system capacity to deliver evidence-based practices such as Cognitive Behavioral Therapy (CBT), Medication-Assisted Treatment (MAT), and trauma-informed care. The initiative will also focus on supporting providers throughout the transition from Community Mental Health Centers (CMHCs) to CCBHCs, offering training and resources to ensure compliance with the CCBHC model. Workforce recruitment will emphasize hiring professionals from underserved communities to reflect Hawaii's cultural diversity, with special efforts to recruit those fluent in Native Hawaiian and Pacific Islander dialects, Spanish, Illocano, Tagalog, Japanese, Korean, and other languages spoken by immigrant populations. This will ensure culturally competent, responsive care. Additionally, expanding telehealth services and implementing myAvatar, a statewide electronic health record (EHR) system, will enhance care coordination and improve access to behavioral health services for rural and remote areas, ensuring equitable service delivery across the state. By 2025, HI DOH will have expanded the CCBHC model statewide, ensuring high-quality, culturally responsive health services to individuals with SMI, SUD, youth with SED, Native Hawaiians, Pacific Islanders, immigrants, and rural residents. A dedicated project management team will oversee the initiative, ensuring milestones are met and the CCBHC model is fully integrated into Hawaii's healthcare system, promoting long-term sustainability.