Opportunity Information: Apply for SM 16 001
Apply for SM 16 001
- The Substance Abuse Mental Health Services Adminis. in the health sector is offering a public funding opportunity titled "Planning Grants for Certified Community Behavioral Health Clinics (Short Title CCBHCs Planning Grants)" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.829 Section 223 Demonstration Programs to Improve Community Mental Health Services.
- This funding opportunity was created on May 21, 2015 and posted on May 21, 2015.
- Applicants must submit their applications by Aug 5, 2015. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The funding agency has allocated a total of $24,635,000.00 to eligible and selected applicants.
- Each selected applicant is eligible to receive up to $2,000,000.00 in funding.
- The number of recipients for this funding is limited to 25 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
- The statutory authority limits eligibility to states including the District of Columbia (hereafter referred to as states). Eligible applicants are either the State Mental Health Authority (SMHA) or the Single State Agency for Substance Abuse Services (SSA) or the State Medicaid Agency (SMAs). If the SMHA and the SSA or the SMHA, SSA, and the SMA are one entity, applicants must include a statement to that effect in Attachment 1. However, SAMHSA expects state s SMHAs, SSAs, and SMAs to collaborate and certify clinics as CCBHCs, establish a prospective payment system, and submit a proposal to participate in the demonstration program during the planning grant period. To demonstrate this collaboration, the applicant must include a signed Memorandum of Agreement (MOA) between the applicant agency and the two partnering agencies describing roles and responsibilities and committing to collaborate for this planning grant and demonstration program in Attachment 1. Only one application per state can be submitted.
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Opportunity Summary:
The FY 2016 Planning Grants for Certified Community Behavioral Health Clinics (CCBHCs Planning Grants) is a SAMHSA Center for Mental Health Services funding opportunity designed to help states get ready to participate in a larger, time-limited Medicaid demonstration. The main idea is to give states a one-year runway to build the policy and payment foundation needed to certify community clinics as CCBHCs, put a Medicaid Prospective Payment System (PPS) in place for the services those clinics deliver, and assemble a strong application for the next phase: a two-year federal demonstration program that offers enhanced Medicaid funding tied to the PPS model.
This opportunity comes directly out of Section 223 of the Protecting Access to Medicare Act of 2014 (H.R. 4302). That law set up Demonstration Programs to Improve Community Mental Health Services and required three key building blocks: first, criteria for what it means to be a certified community behavioral health clinic; second, federal guidance for how states should structure a PPS to pay CCBHCs for Medicaid-reimbursable services; and third, planning grants so states can do the upfront work needed to compete for and launch the demonstration. SAMHSA developed and published the certification criteria (included in the RFA as Appendix II), CMS provided PPS guidance (Appendix III), and ASPE is responsible for the national evaluation of the demonstration once it is operating. In other words, SAMHSA, CMS, and ASPE each have a defined role: clinic standards, payment methodology guidance, and evaluation.
The populations of focus reflect people with the most serious and persistent behavioral health needs: adults with serious mental illness, children with serious emotional disturbance, and individuals with long-term and serious substance use disorders. The program also anticipates serving other individuals with mental illness and/or substance use disorders, but it is clearly oriented toward strengthening access, quality, and financing for high-need groups who often face fragmented systems and inconsistent coverage.
Structurally, this is explicitly Phase I of a two-phase process. Phase I (the planning grant year) funds state-level work to certify clinics using the federal criteria, design and stand up a PPS approach for Medicaid-covered behavioral health services delivered by those certified clinics, and prepare the state’s application package for Phase II. Phase II is the actual demonstration: up to eight states, selected from among the planning-grant states, will move forward and bill Medicaid under a CMS-approved PPS for services provided by CCBHCs to Medicaid-eligible individuals. The overarching goal is to test and evaluate whether this model, anchored by clear clinic standards and a predictable payment methodology, improves community behavioral health services and supports better outcomes.
From a funding and administrative standpoint, the opportunity is a discretionary cooperative agreement, meaning SAMHSA expects an active federal partnership role during the project period rather than a hands-off grant. The funding opportunity number is SM-16-001 under CFDA 93.829 (Section 223 Demonstration Programs to Improve Community Mental Health Services). SAMHSA anticipated about 25 awards with an estimated total funding level of $24,635,000 and an award ceiling of $2,000,000. There is no cost sharing or matching requirement. The announcement was posted May 21, 2015, with an application closing date of August 5, 2015 (archived September 4, 2015).
Eligibility is tightly limited by statute to states, including the District of Columbia. The eligible applicant entity within a state must be one of the following: the State Mental Health Authority (SMHA), the Single State Agency for Substance Abuse Services (SSA), or the State Medicaid Agency (SMA). Even though only one agency applies and only one application per state is allowed, SAMHSA expects close collaboration among the mental health authority, the substance use authority, and the Medicaid agency because the work spans clinical standards, behavioral health system design, and Medicaid payment policy. To prove that collaboration, the application must include a signed Memorandum of Agreement among the applicant agency and the two partner agencies describing roles, responsibilities, and a commitment to work together during the planning year and toward the demonstration application. If those agencies are already combined into a single entity, the state must explicitly state that in the application materials.
Finally, the program is positioned as supporting broader national public health priorities, specifically Healthy People 2020 topic areas for Mental Health and Mental Disorders and Substance Abuse, and aligns with SAMHSA’s Recovery Support Strategic Initiative. The practical takeaway is that this grant is less about direct service expansion during the planning year and more about building the certification and Medicaid payment infrastructure that would allow a state to scale comprehensive, standardized community behavioral health services through certified clinics under a stable PPS reimbursement model in the demonstration phase.
Frequently Asked Questions (FAQs): FY 2016 Planning Grants for Certified Community Behavioral Health Clinics (CCBHCs Planning Grants)
What is this funding opportunity?
This opportunity is the FY 2016 Planning Grants for Certified Community Behavioral Health Clinics (CCBHCs Planning Grants), a SAMHSA Center for Mental Health Services funding opportunity created to help states prepare to participate in a larger, time-limited Medicaid demonstration.
What is the purpose of the planning grant?
The planning grant is intended to give states a one-year runway to build the policy and payment foundation needed to (1) certify community clinics as CCBHCs using federal criteria, (2) design and stand up a Medicaid Prospective Payment System (PPS) for Medicaid-covered services delivered by those clinics, and (3) prepare a strong application for the next phase of the program.
How does this relate to a larger demonstration program?
This planning grant is explicitly Phase I of a two-phase process. Phase II is a two-year federal Medicaid demonstration program offering enhanced Medicaid funding tied to the PPS model. States use the planning year to get ready to apply for and, if selected, operate under the Phase II demonstration.
What authorizing law created this program?
The opportunity comes from Section 223 of the Protecting Access to Medicare Act of 2014 (H.R. 4302), which established Demonstration Programs to Improve Community Mental Health Services and included planning grants as a required building block.
What are the required building blocks under Section 223?
Section 223 required three key building blocks: (1) criteria for what it means to be a certified community behavioral health clinic (CCBHC), (2) federal guidance for how states should structure a Medicaid PPS to pay CCBHCs for Medicaid-reimbursable services, and (3) planning grants so states can complete the upfront work needed to compete for and launch the demonstration.
Which federal agencies have roles in this program, and what are those roles?
SAMHSA developed and published the CCBHC certification criteria (included in the RFA as Appendix II). CMS provided guidance for the Medicaid PPS (Appendix III). ASPE is responsible for the national evaluation of the demonstration once it is operating. In short: clinic standards (SAMHSA), payment methodology guidance (CMS), and evaluation (ASPE).
Who is eligible to apply?
Eligibility is limited by statute to states, including the District of Columbia.
Which state entities are allowed to submit the application?
The eligible applicant entity within a state must be one of the following: the State Mental Health Authority (SMHA), the Single State Agency for Substance Abuse Services (SSA), or the State Medicaid Agency (SMA).
Can more than one agency apply from the same state?
No. Only one application per state is allowed, even though the work is expected to involve multiple state agencies.
Is collaboration across state agencies required?
Yes. SAMHSA expects close collaboration among the mental health authority, the substance use authority, and the Medicaid agency because the planning work spans clinic standards, behavioral health system design, and Medicaid payment policy.
What documentation is required to show collaboration?
The application must include a signed Memorandum of Agreement among the applicant agency and the two partner agencies describing roles, responsibilities, and a commitment to work together during the planning year and toward the demonstration application.
What if the state mental health authority, substance use authority, and/or Medicaid agency are combined into a single entity?
If those agencies are already combined into a single entity, the state must explicitly state that in the application materials.
What are the primary populations of focus?
The populations of focus reflect people with the most serious and persistent behavioral health needs: adults with serious mental illness, children with serious emotional disturbance, and individuals with long-term and serious substance use disorders.
Does the model anticipate serving other populations as well?
Yes. The program anticipates serving other individuals with mental illness and/or substance use disorders, but it is clearly oriented toward strengthening access, quality, and financing for high-need groups who often face fragmented systems and inconsistent coverage.
What activities are funded during Phase I (the planning year)?
Phase I funds state-level work to certify clinics using the federal criteria, design and stand up a Medicaid PPS approach for Medicaid-covered behavioral health services delivered by those certified clinics, and prepare the state application package for Phase II (the demonstration).
What happens in Phase II (the demonstration phase)?
Phase II is the actual demonstration. Up to eight states, selected from among the planning-grant states, will move forward and bill Medicaid under a CMS-approved PPS for services provided by CCBHCs to Medicaid-eligible individuals.
How many states can be selected for the Phase II demonstration?
Up to eight states are expected to be selected from among the states that received planning grants.
What is a Medicaid Prospective Payment System (PPS) in the context of this program?
In this program, the PPS is the Medicaid payment approach states are expected to put in place for Medicaid-covered behavioral health services delivered by certified CCBHCs, consistent with CMS guidance included in the RFA (Appendix III).
What is the overarching goal of the two-phase model?
The goal is to test and evaluate whether a model anchored by clear clinic standards (CCBHC certification criteria) and a predictable payment methodology (PPS) improves community behavioral health services and supports better outcomes.
What type of award is this?
This opportunity is a discretionary cooperative agreement, meaning SAMHSA expects an active federal partnership role during the project period rather than a hands-off grant.
What is the funding opportunity number and CFDA listing?
The funding opportunity number is SM-16-001. The CFDA listing is 93.829 (Section 223 Demonstration Programs to Improve Community Mental Health Services).
How much funding is available and what is the maximum award amount?
SAMHSA anticipated about 25 awards with an estimated total funding level of $24,635,000. The award ceiling is $2,000,000.
Is there a cost sharing or matching requirement?
No. There is no cost sharing or matching requirement.
What were the key dates for this opportunity?
The announcement was posted May 21, 2015. The application closing date was August 5, 2015. The opportunity was archived September 4, 2015.
How does this opportunity align with broader national priorities?
The program is positioned as supporting Healthy People 2020 topic areas for Mental Health and Mental Disorders and Substance Abuse, and aligns with SAMHSA's Recovery Support Strategic Initiative.
Is the planning year primarily intended to expand direct services immediately?
No. The practical emphasis is less on direct service expansion during the planning year and more on building the certification and Medicaid payment infrastructure needed to scale comprehensive, standardized community behavioral health services through certified clinics under a stable PPS reimbursement model in the demonstration phase.
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