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Series: Audit of Certified Community Behavioral Health Clinics Medicaid Reimbursement and Compliance With Demonstration Requirements

Announced on  | Last Modified on  | Series Number: SRS-A-26-025

OBJECTIVE

Certified Community Behavioral Health Clinics (CCBHCs) provide whole-person, team-based care addressing both behavioral and physical health needs. They are required to offer a broad range of services, including crisis mental health care, case management, and integrated physical health screening. Section 223 of the Protecting Access to Medicare Act of 2014 authorized the creation of a demonstration program for CCBHCs. States participating in the CCBHC demonstration receive Federal funds at the enhanced Federal medical assistance percentage (FMAP) for qualifying expenditures and are required to implement standardized certification and payment structures for CCBHCs. We will determine whether select States participating in the CCBHC demonstration program claimed expenditures that were eligible for the enhanced FMAP and whether select CCBHCs provided the services required to receive Medicaid payments.

There is 1 project in this series.

Project titles will remain unpublished until projects are complete and reports are posted.

ACTIVE PROJECTS IN THIS SERIES (1)

TIMELINE

  • November 17, 2025
    Series Number SRS-A-26-025 Assigned
  • November 17, 2025
    Project Announced

    Project OAS-25-06-109

  • Today
    1 Audit In-Progress
  • Est FY2028
    Estimated Fiscal Year for Series Completion

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