The Centers for Medicare & Medicaid Services is seeking public comment onproposed updates to the Certified Community Behavioral Health Clinic (CCBHC) Prospective Payment System (PPS) Technical Guidancepublished as part of the Substance Abuse and Mental Health Services (SAMSHA) CCBHC 2015 Notice of Funding Opportunity.

A summary of the proposed updates include:

• Simplifying the PPS-2 methodology to make special population rates optional,|
  
  
• Addition of two new PPS rate options (PPS-3, daily; PPS-4, monthly) which includes a Special Crisis Service rate component,
  
  
• Updating the quality bonus payment measure-set and providing clarification and examples regarding flexibilities for quality payments,
  
  
• Updating specific sections of the existing CCBHC PPS Guidance to bring it up-to-date and provide additional flexibilities as allowable under the Demonstration, and
  
  
• Establishing a standard 3-year cadence for states to rebase clinic-specific PPS rates.

You may submit public comments toCCBHC-Demonstration@cms.hhs.govwith the subject Public Comment on Updated PPS Guidance by the Friday June 2, 2023 due date.