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Certified Community Behavioral Health Clinic Service Sheet

Program Development

FTI Consulting is an independent global business advisory firm dedicated to helping organizations manage change, mitigate risk, and resolve disputes. Our Healthcare Risk Management & Advisory team serves the entire Healthcare ecosystem. Our team includes subject matter experts that help CMS establish the rules, regulations, and financial tools to administer programs. We specialize in providing technical assistance for the CCBHC demonstration: Cost report compliance, revenue cycle management, program oversight, quality bonus payments program development and administration, cost report audit support, organizational transformation, and strategic planning.

Our Approach

Strategy and Compliance
Our CPAs, clinicians and financial professionals can walk you through developing your entire CCBHC program, including the CCBHC cost reporting process to establish a prospective payment system rate, while understanding short term and long-term goals while you build your CCBHC program. We guide you through Medicaid rules and help you create sustainable, efficient operations to make your CCBHC program successful.

National Council for Mental Wellbeing - Bronze Sponsor

FTI Consulting is excited to partner with the National Council to help transform the behavioral healthcare industry. We are happy to serve both states and clinics in developing their CCBHC programs by providing a complimentary 30-minute technical assistance call. Our specialty is cost reporting and PPS payment operations.

What We Offer to States

Program Expertise
Our team at FTI Consulting has been involved with the CCBHC concept since the Protecting Access to Medicare Act passed in 2014. Our cost report experts helped design the original template in 2016 and the revised template in 2023 for states in the federal CCBHC demonstration. Our experience allows us to help you develop and maintain CCBHC program operations to join the federal demonstration or work under a state plan amendment. We will walk you through the necessary steps to assess statewide needs, develop a scope of services and activities that your prospective payments will cover, provide cost report training and audit support, and transition from fee-for-service to a monthly or daily rate for CCBHC and crisis services, and evaluate provider readiness for certification.

Reconciliation and Reporting Support

Changing operations for prospective payments can be daunting. Our experts can help your finance teams modify their systems to manage bundled payments for services and reconcile Medicaid payments to ensure payment is correct, including support for wraparound payments.

What We Offer to Clinics

Technical Assistance
Our expertise in the program allows us to help clinics set up prospective payment the right way to ensure patients continued access to quality behavioral healthcare. We offer technical assistance with all aspects of being a CCBHC including completing a community needs assessment and cost reporting. We help clinics identify needs for certification and support development of anticipated costs and visits in the first year of operations. For ongoing support, we provide payment reconciliation and revenue cycle management and developing dashboards for key metrics that help monitor visit levels, provider productivity, and PPS rate impact for continued success.