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Information about Certified Community Behavioral Health Clinics (CCBHC) for Providers and Managed Care Organizations This web page has information about Rhode Island’s CCBHC Initiative for providers and managed-care organizations (MCOs) including certification standards, billing manuals, staffing templates, contract checklists, public planning meetings notes, and more. Click on the tabs below to find recently updated and archived resources. CCBHC Certification See below for technical guidance to support providers through the CCBHC certification application process. Background: Certification Process The CCBHC Interagency Team released the RI CCBHC Certification Application on February 15, 2023, alongside an overview of the application review and scoring process. The application, scoring criteria, and supporting documents are linked below: CCBHC – RI Certification Application (2/15/2023) CCBHC – RI Certification Application Review & Scoring Process Overview (2/15/2023) CCBHC – RI Certification Application_One Pager (2/1/2023) Applications were submitted to the State no later than April 3, 2023 via email to OHHS.CCBHCReadiness@ohhs.ri.gov. The established certification standards, criteria, and application evaluation process reflected the State’s mission and priority to ensure access to high quality services to all Rhode Islanders. Here are the main components of the Rhode Island CCBHC certification process: All State Fiscal Year 24 (SFY24) CCBHC applicants have been evaluated based on their demonstrated ability to meet the established certification requirements. This determination has been informed by both the contents of each provider’s written application for certification and an onsite assessment by the CCBHC Certification Team. SFY24 CCBHC applicants have received one of four designations based on their demonstrated level of readiness to meet all core and minimum CCBHC certification: 1a) Not Certified – Application Closed; 1b) Not Certified – Application Remains Open; 2) Contingently Certified; OR 3) Fully Certified. Applicants who are designated ‘contingently certified’ or ‘fully certified’ are eligible to execute an MCO contract and to receive the CCBHC PPS rate for as long as they maintain either of these statuses. More information about the certification process can be found here, in an August 21, 2023 memo to CCBHC Applicants from EOHHS Secretary Richard Charest. And you may also find answers to frequently asked questions about the CCBHC certification process here. CCBHC Cost Reporting See below for 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 Please submit cost report questions to OHHS.CCBHCReadiness@ohhs.ri.gov We look forward to collaborating throughout the cost report development process. Below are key Cost Reporting guidance documents and templates: Trial Balance Crosswalk (Updated 02.02.2024) 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) CCBHC Cost Report and Certification Standards (Public Meeting 1/4/2023) CCBHC Cost Reporting Overview by Milliman (Public Meeting 1/4/2023) Cost Report Instructions CMS CCBHC Cost Report Template Additional State Guidance and Reference Materials Certification RI CCBHC Certification Standards (05/10/2024) Overview of Substantive Updates to Certification Standards (05/10/2024) RI CCBHC Certification Standards_Addendum 11 (10/21/2024) Implementation DCO Attribution and Billing Processes (09/20/2024) TPL Reconciliation and Auditing Processes (09/20/2024) Acuity Level Evaluation, Score Submission, and Client Population Assignment Process (09/20/2024) RI CCBHC Provider Manual (09/17/2024) RI CCBHC Quality Manual (09/13/2024) Link to SAMHSA Data Reporting Templates for BH Clinic Quality Measures CCBHC-DCO Oversight Checklist Guidance for Year 1 (07/02/2024) RI CCBHC MCO Operations Manual (Updated 05/21/2024) RI CCBHC Billing Manual (05/21/2024) CCBHC PPS & Shadow Billing Codes - Public (Updated 04/11/2024) CCBHC NPI Requirement Provider Instructions (12/15/2023) CCBHC-MCO Base Contract Checklist V2 (4/25/2024) CCBHC EBP and Fidelity Resource Guide (02/01/2024) Request Forms & Reporting Templates CCBHC Implementation Monitoring Cost and Utilization Report (Updated 11/06/2024) CCBHC Mobile Crisis Report Template (Updated 10/29/2024) CCBHC Case Managers Associate Degree Variance Request (10/21/2024) CCBHC-DCO TPL Payment Report Template (09/20/2024) CCBHC Shadow Claims Report Template (09/20/2024) CCBHC Population Exception Request Process (09/20/2024) CCBHC High Acuity Adult Population Exception Request Form (09/20/2024) CCBHC High Acuity Child & Youth Population Exception Request Form (09/20/2024) CCBHC High Acuity Child Program Ongoing Monitoring Template (09/20/2024) CCBHC Staffing Template (Updated 02.07.2024) Home Stabilization Request Form for CCBHCs (06/17/2024) Provider Q&A CCBHC Provider Q&As V1.21 (10/21/2024) Other Statewide Community Needs Assessment (03/22/2024) Archived Resources CCBHC Implementation Monitoring Cost and Utilization Report (05/21/2024) CCBHC Mobile Crisis Report Template (Updated 10/18/2024) CCBHC Mobile Crisis Report Template (09/20/2024) CCBHC Provider Q&As V1.20 (09/19/2024) CCBHC Provider Q&As V1.19 (09/05/2024) RI CCBHC Quality Manual – Draft (07/22/2024) CCBHC Provider Q&As V1.18 (08/22/2024) CCBHC Provider Q&As V1.17 (08/07/2024) CCBHC Provider Q&As V1.16 (07/24/2024) CCBHC Provider Q&As V1.15 (07/12/2024) CCBHC Provider Q&As V1.14 (06/27/2024) CCBHC Provider Q&As V1.13 (06/13/2024) CCBHC Provider Q&As V1.12 (05/31/2024) CCBHC Provider Q&As V1.11 (05/16/2024) RI CCBHC MCO Operations Manual (Updated 05/10/2024) RI CCBHC Billing Manual (05/10/2024) CCBHC Provider Q&As V1.10 (05/02/2024) CCBHC-MCO Base Contract Checklist (4/25/2024) CCBHC Provider Q&As V1.9 (04/17/2024) CCBHC Provider Q&As V1.8 (04/01/2024) CCBHC PPS & Shadow Billing Codes - Public (12/07/2023) CCBHC Provider Q&As V1.7 (3/15/2024) CCBHC Provider Q&As V1.6 (2/16/2024) CCBHC Provider Q&As V1.5 (2/2/2024) CCBHC Provider Q&As V1.4 (1/25/2024) Updated RI CCBHC Certification Standards_DRAFT (01.25.2024) CCBHC Staffing Template (1/17/2024) CCHBC Provider Q&As v1.3 (12/22/2023) CCBHC MCO Operations Manual - Full Draft for Publication (12/01/2023) Trial Balance Crosswalk CCBHC – RI Certification Standards_DRAFT (Public Comment & State response 2/1/2023) CCBHC – RI Certification Standards_(2/1/2023) CCBHC - RI Certification Standards_DRAFT (1/11/2023) CCBHC Certification Standards (Public Meeting 1/17/2023) CCBHC Certification Standards Public Meeting (Recording 1/17/2023) Passcode: sP?uS6@S Consolidated Provider Questions (12/01/2023) CCBHC PPS and Shadow Billing Codes (11/27/2023) CCBHC MCO Operations Manual - Full Draft for Publication (10/03/2023) CCBHC Public Planning Meeting Documents CCBHC Provider Meeting – Children’s Services Information Session – October 5, 2023 CCBHC Info Session for Providers – Meeting Recording – August 10, 2023 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