Category Archives: Excellence Act

Election Over . . . Now What?

Wow is this country divided!!! California voters approved four statewide tax extensions or increases and many local property taxes and strengthened the already total Democratic Party control of the legislature while at the same time the majority of states gave Republicans the White House and re-affirmed their control of both houses of Congress.

So what will this mean for community behavioral health care in California?

Continue reading Election Over . . . Now What?

State Budget Reflects Healthy Economy and Increased Attention to Behavioral Health Issues

State Budget Reflects Healthy Economy and Increased Attention to Behavioral Health Issues

Last week the legislature sent the 2016-17 budget to the Governor with a record general fund spending level of $122 billion.  Revenues were a bit below what had been projected in January but still enough above the previous year to allow for some program increases as well as an increase in the state “rainy day fund.”

Housing to address homelessness and related increases in SSI/SSP payments were important parts of the budget for the first time in recent memory. Continue reading State Budget Reflects Healthy Economy and Increased Attention to Behavioral Health Issues

Governor Signs Funding for Certified Community Behavioral Health Centers

April 11 – Governor signs AB 847 (Mullin) – Funding for Certified Community Behavioral Health Centers

  • 30% increase in federal matching funds for outpatient behavioral health
  • Improved and streamlined way to receive federal funds
  • Counties must elect to participate and be certified by state
  • State must be selected as a participating state; odds are good that this will happen
  • Lots of work between now and October 31 Deadline for submittal of the state plan

AB 847 appropriates $1 million to enable DHCS to develop a California proposal to participate in the federal Certified Community Behavioral Health Centers (CCBHC) program.

California is one of 24 states receiving a planning grant in October 2015 to develop a proposal to submit in October of 2016. Under current federal law, eight states will be selected to begin a two year demonstration program. These programs will show that increased federal investment in outpatient behavioral health will pay for itself in reduced physical health and behavioral health inpatient and other costs.

Continue reading Governor Signs Funding for Certified Community Behavioral Health Centers

California Well Positioned for Excellence Act (CCBHC) Certification, Management and PPS

December 20, 2015

On Monday, December 7th, I participated in the National Council for Behavioral Health’s second all day training for state associations to support state planning to develop proposal under the Excellence in Mental Health Act Certified Community Behavioral Health Centers program which will significantly increase funding and significantly reduce documentation requirements for outpatient behavioral healthcare. See my paper documenting that the value of this is about $1 Billion statewide in the first year and growing.

A centerpiece of that training was the review of a new and expanded “Integrated CCBHC Certification Criteria Feasibility and Readiness Tool (I-CCFRT)”.
In studying that tool and discussions with other state association representatives I learned that the structure of county mental health in California (not yet the case for substance use disorders- but should eventually be with the implementation of the Organized Delivery System) is well aligned with the requirements for CCBHC certification, management and establishment of a prospective payment system.

Continue reading California Well Positioned for Excellence Act (CCBHC) Certification, Management and PPS