CCBHC Basics
This federally designated care model expands clinics beyond therapy alone to include screening, coordination, and whole-person care.
What is the CCBHC Model of Care?
A client’s care is supported by multiple disciplines working together rather than a single provider.
What is a team-based approach to care?
This three-question screener assesses alcohol-related risk faster than most intake sections.
What is the AUDIT-C?
This required CCBHC structure ensures client feedback informs clinic improvement efforts.
What is the Peer Advisory Board?
This SAMHSA-required dataset is collected from a 10% sample of clients.
What are the NOMs?
This approach shifts the focus from counting visits to asking whether services made a difference.
What is value-based care?
A client qualifies for care but is stuck navigating Medicaid rules, renewals, or coverage confusion.
Who is the Behavioral Healthcare Navigator?
This screener identifies needs like housing or food insecurity that directly affect treatment outcomes.
What is the SDOH screener?
A client asks how they can share feedback about their experience, and their clinician sends them this.
What is the Client Feedback Survey?
This type of data captures changes in mental health, functioning, and social connection over time.
What are client-reported outcomes?
These required services are why CCBHC work often spans therapy, coordination, screening, and follow-up.
What are the nine CCBHC core services?
A client wants support rooted in lived experience.
Who is the Peer Support Specialist?
These tools are required under CCBHC to support quality monitoring and inform care decisions.
What are CCBHC quality measures?
This CCBHC requirement prohibits denying services based on a client’s financial situation.
What is access regardless of ability to pay?
Bel-Red is currently operating in this CCBHC grant year, which includes expanded expectations.
What is Grant Year 4?
This CCBHC core service ensures clinics respond to crises without relying solely on emergency rooms.
What is crisis response and stabilization?
A client with depression and unmanaged diabetes needs medical screening and coordination with primary care alongside behavioral health treatment.
Who is the Nurse Care Coordinator?
Using screening results to adjust treatment plans over time reflects this evidence-based approach.
What is measurement-based care?
Collecting, reviewing, and acting on client feedback reflects this ongoing improvement process.
What is continuous quality improvement?
Beginning in GY4, this requirement standardizes outcome data collection across CCBHCs nationally.
What is the National Evaluation?
After requesting services, clients should not wait more than 10 days for this step under CCBHC standards.
What is an intake assessment?
This core service focuses on building daily living skills, social connections, and recovery beyond symptom reduction.
What is Psychosocial Rehabilitation (Pathways to Wellness)?
This concept links screening data, clinical judgment, and follow-up to improve outcomes—not just compliance.
What is quality improvement?
This principle ensures client perspectives are treated as expertise, not just opinions.
What is client-centered treatment?
Staff are asked to regularly share what’s working, what’s challenging, and what needs fixing so CCBHC implementation can improve over time.
What is the Quarterly Staff Survey?