Section 223 Demonstration Programs to Improve Community Mental Health Services

 

Funding to support development of proposals to participate in time-limited community based behavioral health demonstration programs described in subsection (d) of section 223 of P.L. 113-93 Protecting Access to Medicare Act of 2014, 42 USC 1396(a) note. Additional funding as outlined under section 11001 of Bipartisan Safer Communities Act of 2022 (P.L. 117-159) to expand the number of states allowed to participate in the section 223 CCBHC demonstration program. The legislation appropriates $40 million to the Secretary to award planning grants, provide technical assistance to states, and to select up to ten states every two years (until all funds are expended), with the first 10 states launching CCBHC demonstration programs beginning July 1, 2024.

Active 93.829 Centers For Medicare and Medicaid Services, Department of Health and Human Services B - Project Grants Not applicable. (For all authorizations/amendments, you must supply the Act or the Executive Order in order to continue) P.L. 113-90 Protecting Access to Medicare Act of 2014, 42 USC 1396a note, section 223 subsections (a), (b), (d)(7).
There have been 10 Statutory temporary extensions of the CCBHC Demonstration since 2019 as outlined below: • On Friday July 5, 2019, the President signed S. 2047 which extends the 2-year CCBHC demonstration from 6/30/2019 to 7/14/2019. No additional funding was provided under temporary extension. • On Tuesday, August 6th, H.R. 3253, the Sustaining Excellence in Medicaid Act of 2019 (SEMA) Public Law 116-39 was signed into law, which extends the section 223 demonstration from 7/15/19 to 9/13/19. • On September 27th, 2019 HR 4378 the “Continuing Appropriations Act, 2020, and Health Extenders Act of 2019 was signed into law, which extends the section 223 demonstration from 9/13/19 to 11/21/19. (P.L. 116-59) • On Thursday, November 21st, H.R. 3055, the Further Continuing Appropriations Act, 2020, and Further Health Extenders Act of 2019 Public Law 116-69 was signed into law, which extends the section 223 demonstration from 11/21/19 to 12/20/19. • On Friday, December 20th, H.R. 1865, the Further Consolidated Appropriations Act, 2020 Public Law 116-94 was signed into law, which extends the section 223 demonstration from 12/30/19 to 5/22/20 (subtitle B sec. 201). • On Friday, March 27th, H.R. 748, the Coronavirus Aid, Relief, and Economic Security Act or the CARES Act, Public Law 116-136 was signed into law, which extends the section 223 demonstration from 5/22/20 to 11/20/20 and added two additional states to the program. • The Continuing Appropriations Act, 2021 and Other Extensions Act HR 8337 (Public Law 116-159) was signed into law on October 1, 2020, which extended the section 223 demonstration end date from 11/20/20 to 12/11/20. • The Further Continuing Appropriations Act, 2021 and Other Extensions Act H.R. 8900 (Public Law 116-215) was signed into law on December 11, 2020, which extended the section 223 demonstration end date from 12/11/20 to 12/18/2020. • On December 27, 2020, H.R. 133, the Consolidated Appropriations Act, 2021 (Public Law 116-260) was signed into law, which extends the section 223 demonstration from 12/11/20 to 09/30/2023. • On June 25, 2022, S.2938 the Bipartisan Safer Communities Act (BSCA) was enacted which extends the program end date for the original eight demonstration states from September 30, 2023 until September 30, 2025, and extends the program end date for Michigan and Kentucky, the two additional states added through the Consolidated Appropriations Act of 2020 from 2 years (8 fiscal quarters) to 6 years (24 fiscal quarters). In addition, BSCA expands the number of states allowed to participate in the CCBHC demonstration program and appropriates $40 million to the Secretary to award planning grants to up to ten (10) states every two years until all funds are expended with the first 10 states launching CCBHC demonstrations beginning July 1, 2024. The statutory authority limits eligibility to states including the District of Columbia. Eligible applicants are either the State Mental Health Authority (SMHSA) or the Single State Agency for Substance Abuse Services (SSA) or the State Medicaid Agency (SMAs). Individual/Family; Non-profit organization; Consumer; Mentally Disabled; Drug Addict; Alcoholic; Child; Youth; Senior Citizen Not applicable. Preapplication coordination is not applicable. 2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. Applicants must download the SF_424 application forms through http://www.samhsa.gov/grants/apply.aspx. Applications are awarded based on the outcomes of the SAMHSA Peer Review, CMHS National Advisory Council review; and approval of the SAMHSA Administrator. Grants are awarded directly by SAMHSA to the Applicant Organization. October 23, 2016 to October 22, 2017 Section 223, 2014 Protective Access to Medicare Act Oct 23, 2016 to Oct 22, 2017 10/23/16 - 10/22/17 Section 11001, Bipartisan Safer Communities Act December 2022 - December 2023 From 30 to 60 days. 30-60 days. To be determined by agency or office administering the funds. Not applicable. Not applicable. SAMHSA applications are peer-reviewed according to the evaluation criteria listed in the grant announcement. Decisions to fund a grant are based on: -The strengths and weaknesses of the application as identified by peer reviewers; -When the individual award is over $150,000, approval by the Center for Mental Health Services' National Advisory Council; -availability of funds; -equitable distribution of awards in terms of geography (including urban, rural, and remote settings) and balance among populations of focus and program size. Section 223 of the PAMA(c)(2) Use of funds and section 11001 of the BSCA (1)(3) of Additional Planning Grants for States-A State awarded planning grant under these subsections shall (A) solicit input with respect to the development of such a demonstration program from patients, providers, and other stakeholders; (B) certify clinics as certified community behavioral health clinics for purpose of participating in a demonstration program conducted under subsection (d); Cost Principles describing allowable and unallowable expenditures for federal grantees, including SAMHSA grantees, are provided in the following documents, which are available at http://www.samhsa.gove/grants/management.aspx: Educational Institutions: 2CFR Part220 and OMB Circular A-21 State, Local and Indian Tribal Governments: 2 CFR Part 225 (OMB Circular A-87 Nonprofit Organizations: 2CFR Part 230 (OMB Circular A-122) Performance Reports: GPRA and data collection reports; quarterly progress reports In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements," nonfederal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program- specific audit conducted for that year. Non-Federal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in 2 CFR 200.503. Records must be retained for at least 3 years; SAMHSA has the right to disallow costs and recover funds on the basis of a later audit or other review; records shall be retained beyond the 3 year period for that reason. Statutory formula is not applicable to this assistance listing.

Matching requirements are not applicable to this assistance listing.

MOE requirements are not applicable to this assistance listing. N/A Method of awarding/releasing assistance: Lump. Local Locations: Beverly Boston, CMS 7500 Security Boulevard, Woodlawn MD 21244, Phone: 410796-4186 Regional Assistance Locations. David de Voursney , SAMHSA, 5600 Fishers Ln., Room 14E48, Rockville, MD 20857, Phone: 240-276-0327-, Email: David.DeVoursney@SAMHSA.hhs.gov Roger George
1 Choke Cherry Road, Room 7-1097
Rockville, MD 20850 US
Roger.george@SAMHSA.HHS.gov
Phone: 240-276-1418 http://www.samhsa.gov 75-0516-0-1-551 (Project Grants) FY 22$0.00; FY 23 est $15,000,000.00; FY 24 est $0.00; FY 21$0.00; FY 20$0.00; FY 19$0.00; FY 17$0.00; FY 18 est $0.00; FY 16$22,959,820.00; - For FY 2023, up to $15 Million under the BSCA, is estimated to be awarded in discretionary grants to states. P.L. 113-93 Protecting Access to Medicare Act of 2014; 42 USC 1396(a), note section 223 subsections (a),(b),(d)(7). Criteria for the Demonstration Program to Improve Community Mental Health Centers and to Establish Certified Community Behavioral Health Clinics found in Appendix II of the Request for Application (RFA). Section 223 Demonstration Programs to Improve Community Mental Health Services Prospective Payment System (PPS) Guidance.