To determine if the CCBHC demonstration improves the quality and outcomes of ambulatory mental health and substance use services.
To identify factors that facilitate or impede the success of the CCBHC model and assess if the model has an impact on the utilization and costs of services.
U.S. Department of Health and Human Services
U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation
Community mental health centers that became CCBHCs provide a comprehensive range of ambulatory mental health and substance use services, as well as primary care screening and monitoring. Medicaid pays a fixed daily or monthly payment to each CCBHC, and states have the option to provide CCBHCs with bonus payment tied to performance on quality measures. The demonstration seeks to test whether providing an enhanced payment rate to CCBHCs that provide a broad array of services improves the quality and outcomes of care. Mathematica and the RAND Corporation are conducting a mixed-methods evaluation to examine the implementation and outcomes of the demonstration across states. The evaluation includes analysis of Medicaid claims data, CCBHC quality measure and cost reports, site visits to CCBHCs, and interviews with state-level stakeholders.