CCBHC vs. DCO
Bundled rate calculations for CCBHCs
Part 5: Bundled rate calculations for CCBHCs
Daily bundled rate
To calculate the daily bundled rate, each community behavioral health clinic (CCBHC) first determines their allowable costs and nonallowable costs, and then creates a base year cost. Once the clinic is certain all costs have been included, they must determine the annual number of visits they receive from consumers.
- Daily visits from patients receiving CCBHC services provided directly by staff
- Daily visits from patients receiving CCBHC services directly by a designated collaborating organization (DCO) (not included above)
- Additional anticipated daily visits from patients receiving CCBHC services
Monthly bundled rate
This rate is paid to the clinic for each unique consumer who has visited at least once in a month, but is only paid once per month regardless of the number of visits during the month.
- Adults with serious mental illness (SMI)
- Adults with significant substance abuse disorders (SUDs)
- Adults with SMI and co-occurring substance abuse disorders (SMI/SUDs)
- Children or adolescents with serious emotional disturbance (SED)
- Consumers with a recent history of frequent hospitalizations related to behavioral health conditions
Understanding the prospective payment system
Read these insights provided by top solution experts to align the differences between the prospective payment system. You'll learn the risks and rewards of PPS1 vs. PPS2.
The Future of Independent Medical Practices
For those who value the independent practice of medicine, the pressure is on. Gain insight on the challenges facing independent practices, and how to overcome them.
Patient-Centered Medical Homes: creating a focal point for care
A patient-centered medical home (PCMH) is focal point for coordinating a patient’s healthcare—an increasingly important goal in primary care.