Information about Certified Community Behavioral Health Clinics (CCBHC) for Providers and Managed Care Organizations
This webpage serves as a resource for providers and managed care organizations (MCOs). This documentation supports the implementation and maintenance of the CCBHC service delivery model and program in Rhode Island.
If you are looking for information about how to access CCBHC services in Rhode Island for yourself or a loved one, click here.
Certification Standards
- RI CCBHC Certification Standards for Program Year 2: Addendum 11 (09/16/2025)
- RI CCBHC Certification Standards for Program Year 2: Addendum 10 (06/11/2025)
- RI CCBHC Certification Standards for Program Year 2 (1/28/2025)
- RI CCBHC Certification Standards: Overview of Substantive Changes from Year 1 to Year 2 (1/28/2025)
- RI CCBHC Certification Standards for Program Year 1 (10/21/2024)
- RI CCBHC Certification Standards for Program Year 1: Overview of Substantive Updates (05/10/2024)
- RI CCBHC Certification Standards for Program Year 1: Addendum 11 (10/21/2024)
See below for technical guidance to support provider completion of the CCBHC Cost Report.
Submissions must:
- Follow CMS’ CCBHC cost report instructions for PPS-2 and this technical guidance
- Use SFY 2022 (July 1, 2021 – June 30, 2022) as the base year for cost report data
- Include supplemental reports in Appendix F
- Include one report per organization
Please submit cost report questions to OHHS.CCBHCReadiness@ohhs.ri.gov We look forward to collaborating throughout the cost report development process.
Below are key Cost Reporting guidance documents and templates:
- Trial Balance Crosswalk (Updated 02.02.2024)
- CCBHC - Cost Report Technical Guidance (1/13/2023)
- Appendix C - Population Assignment Grid
- Appendix D – FFS Fee Schedule Crosswalk to CCBHC Services
- Appendix F - Reporting Template (modified)
- CCBHC Cost Report and Certification Standards (Public Meeting 1/4/2023)
- CCBHC Cost Reporting Overview by Milliman (Public Meeting 1/4/2023)
- Cost Report Instructions
- CMS CCBHC Cost Report Template
Implementation
- D1 & DY2_RI MRSS Best Practices (09/02/2025)
- CCBHC PPS & Shadow Billing Codes list for DY2 (09/26/2025)
- DCO Attribution and Billing Processes (09/20/2024)
- TPL Reconciliation and Auditing Processes (09/20/2024)
- DY2_Functional Assessments, Score Documentation, and Client Population Assignment (09/23/2025)
- DY2_RI CCBHC Provider Manual (09/23/2025)
- DY1 RI CCBHC Quality Manual (09/01/2025)
- CCBHC-DCO Oversight Checklist Guidance for Year 1 (07/02/2024)
- RI CCBHC MCO Operations Manual (Updated 05/21/2024)
- RI CCBHC Billing Manual (05/21/2024)
- CCBHC PPS & Shadow Billing Codes for DY1- Public (Updated 04/11/2024)
- CCBHC NPI Requirement Provider Instructions (12/15/2023)
- CCBHC-MCO Base Contract Checklist V2 (4/25/2024)
- CCBHC EBP and Fidelity Resource Guide (02/01/2024)
Provider Q&A
Request Forms
- CCBHC Case Managers Associate Degree Variance Request (10/21/2024)
- CCBHC Population Exception Request Process (Updated 07/15/2025)
- CCBHC High Acuity Adult Population Exception Request Form (Updated 07/15/2025)
- DY2 CCBHC High Acuity Child Population Exception Request Form (09/05/2025)
- DY2_CANS Level of Need (LON) Form (09/23/2025)
- Home Stabilization Request Form for CCBHCs (06/17/2024)
- DY2 CCBHC Staffing Template (09/23/2025)
- DY2 CCBHC High Acuity Child Program Monitoring Report Template (09/23/2025)
- DY2_CCBHC Mobile Crisis Services Reporting Guidance (09/23/2025)
- DY2_CCBHC Mobile Crisis Services Reporting Template (09/23/2025)
- CCBHC Quarterly Financial Report Instructions (07/03/2025)
- CCBHC Quarterly Financial Report Template (07/03/2025)
- SAMHSA Data Reporting Templates for BH Clinic Quality Measures (updated 03/14/2025)
- CCBHC Outreach Activities Monitoring Report Instructions and Template (02/04/2025)
- CCBHC Implementation Monitoring Cost and Utilization Report (Updated 11/06/2024)
- CCBHC-DCO TPL Payment Report Template (09/20/2024)
- CCBHC Shadow Claims Report Template (09/20/2024)
Statewide Community Needs Assessment