Behavioral Health System Review

In 2019, the Rhode Island Executive Office of Health and Human Services (EOHHS) received a planning grant from the Centers for Medicare & Medicaid Services (CMS) to Increase Substance Use Disorder Provider Capacity. EOHHS then began our Provider Capacity Building Project, and as a part of the effort, contracted with consultants Faulkner Consulting Group and Health Management Associates to carry out a review of the behavioral health system in the state. The resulting Rhode Island Behavioral Health System Review included both quantitative and qualitative components, to determine gaps in services and access in the state - as well as policy proposals that can address the gaps. 

Throughout the review process, EOHHS and our consultants sought public comment from a variety of stakeholders and included feedback in the final report. 

The findings of the review led EOHHS to identify two interventions to address the existing gaps in Rhode Island's Substance Use Disorder services and access, for which we are creating implementation plans: 

  • First, a plan for a statewide RI Certified Community Behavioral Health Clinic (CCBHC) program. This Rhode Island-specific program model would be designed to provide comprehensive mental health and substance use disorder services to vulnerable individuals throughout the life cycle. 
  • Second, a plan to develop a Single Statewide Mobile Mental Health Crisis System as a central part of our CCBHC model.

We will continue to seek stakeholder feedback throughout the implementation planning process. If you have ideas or questions, please contact Karen Lawrence, at karen.Lawrence.ctr@ohhs.ri.gov

 

CCBHC Public Planning Meetings

 

CCBHC Community Engagement Meeting Minutes 11.2.22 Notes

CCBHC Public Planning Meeting – FAQ Presentation

CCBHC Public Planning Meeting – FAQ Document

CCBHC Public Planning Meeting – Certification Standards

CCBHC Public Planning Meeting – Updates and Infrastructure

CCBHC Public Planning Meeting – Statewide Mobile Crisis Approach and Infrastructure Grants

CCBHC Public Planning Meeting - Development Grant Plan

CCBHC Public Planning Meeting – CCBHCs and DCOs

CCBHC Public Planning Meeting Notes – CCBHCs and DCOs

Certified Community Behavioral Health Clinic - Cost Reports

EOHHS, BHDDH, and DCYF drafted technical guidance to support provider completion of the CCBHC Cost Report.

Submissions must:

  • Follow CMS’ CCBHC cost report instructions for PPS-2 and this technical guidance
  • Use SFY 2022 (July 1, 2021 – June 30, 2022) as the base year for cost report data
  • Include supplemental reports in Appendix F
  • Include one report per organization

Cost reports must be submitted no later than February 15, 2023 as directed in the guidance. A meeting will be scheduled for Wednesday, January 4th, from 9-10:30 to review both certification requirements and PPS cost report technical guidance. Please submit cost report questions to OHHS.CCBHCReadiness@ohhs.ri.gov by 12/28 to ensure the State’s response is addressed at the meeting. The inbox will remain open for questions beyond 12/28 and answered on a rolling basis.

We look forward to collaborating throughout the cost report development process.

CCBHC - Cost Report Technical Guidance (1/13/2023)

Appendix C - Population Assignment Grid

Appendix D – FFS Fee Schedule Crosswalk to CCBHC Services

Appendix F - Reporting Template (modified)

Trial Balance Crosswalk

CCBHC Cost Report and Certification Standards  (Public Meeting 1/4/2023)

CCBHC Cost Reporting Overview by Milliman (Public Meeting 1/4/2023)

 

Certified Community Behavioral Health Clinic - Certification Standards

Please see below for a draft of the RI CCBHC Certification Standards.

We are posting these for public review and comments. We request all feedback by Friday, January 20 @ 5PM, via email to ohhs.ccbhcreadiness@ohhs.ri.gov. What we would appreciate most is high-level feedback on the policy and operational components of these Certification Standards.

In addition, we are hosting a Public Meeting on Tuesday, January 17 @ 9AM to discuss the Certification Standards. Time will be allocated during this meeting for questions and feedback.

Organizations intending to apply for CCBHC certification can use this version of the Certification Standards to inform the development of their Cost Reports. However, please note these are a draft and subject to change pending further review of comments received. The CCBHC Interagency Team intends to release a final version of the Standards on February 1, 2023.

Also note, SAMHSA recently released proposed updated federal CCBHC Certification Standards for public comment. We do not anticipate these to be finalized until Spring 2023. In the interim, we are moving ahead with our program development based on current federal standards. If, and when SAMHSA releases final federal updates, we will incorporate any new requirements into our RI standards to ensure alignment.