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Part 2: CCBHCs vs. DCOs

Certified community behavioral health clinic (CCBHC)

The CCBHC coordinates and maintains responsibility for the care and services rendered by any contracted DCO(s). A DCO is not under the direct supervision of the CCBHC, but is engaged in a formal contractual relationship with them. Each party should describe their mutual expectations and establish accountability for the services provided, as well as the funding sought and utilized.

Designated collaborating organization (DCO)

Payment for DCO services is included within the scope of the CCBHC Prospective Payment System (PPS) per-visit rate. Because the CCBHC is paying the DCO to render services on their behalf, and the CCBHC bears financial responsibility for the services, the CCBHC-DCO relationship is necessarily contractual.


Learn the differences of a CCBHC vs. DCO

What can become a CCBHC?

For nonprofit organizations or local government centers to meet the criteria, they must:

Offer nine required services

Maintain community linkages

Meet minimum standards

Utilize prospective payment

The CCBHC must directly provide these four of the nine mandatory services:

  • Mental health screening, assessment (including risk assessment), and diagnosis
  • Person-centered mental health treatment planning, including risk assessment and crisis planning
  • Crisis mental health services, including 24x7x365 mobile teams, crisis intervention, and crisis stabilization
  • Evidence-based outpatient mental health and addiction treatment, including cognitive behavioral therapy "and other such therapies which are evidence-based"