Crosswalk: Demonstration Application

Demonstration Application Changes Crosswalk

2015 (old version)
State Demonstration Proposal
Application and GuidanceIntroduction

2023 (new version)
State Demonstration Proposal
Application and GuidanceIntroduction

Type of
Change

Reason for Change

Burden Change

Revision

Revised to include language on expansions and extensions to the CCBHC
demonstration since 2016 and updated submission/award timeframes.

None

State Demonstration Proposal
State Demonstration Proposal
Application and Guidance- Part 1 Application and Guidance- Part 1

Revision

Revised certain attachments to meet updated CCBHC Criteria and to make minor
grammatical changes.

None

State Demonstration Proposal
State Demonstration Proposal
Application and Guidance- Part 1, Application and Guidance- Part 1,
Attachment 1
Attachment 1

Revision

Minor revision to Attachment 1: Revised to update the CCBHC Compliance Checklist to
correspond with the updated CCBHC Criteria. CCBHC Compliance Checklist also
slightly modified to include the number of CCBHCs that meet each category.

None

Addition

Minor addition to Attachment 2: Added for states to certify that CCBHCs proposed will
be compliant with CCBHC certification criteria by the start date of the demonstration
and will participate in SAMHSA's treatment locator.

None

Revision

Minor revision to Attachment 4: Revised to reflect the updated CCBHC Criteria

None

Revision

Minor revision to Attachment 5: Minor grammatical revision

None

Revision

Minor revision to Attachment 6: Minor grammatical revision

None

Revision

Minor revision to Attachment 7: Revision to update date for the end of the planning
grant period

None

Revision

Revision in Section B: Updated CCBHC Compliance Checklist to correspond with
updated CCBHC Criteria, and operationalized the definitions for the scoring categories

None

State Demonstration Proposal
Application and Guidance- Part 1,
Attachment 2
State Demonstration Proposal
Application and Guidance- Part 1,
Attachment 4
State Demonstration Proposal
Application and Guidance- Part 1,
Attachment 5
State Demonstration Proposal
Application and Guidance- Part 1,
Attachment 6
State Demonstration Proposal
Application and Guidance- Part 1,
Attachment 7
State Demonstration Proposal
Application and Guidance- Part 2,
Section B
State Demonstration Proposal
Application and Guidance- Part 2,
Section B
State Demonstration Proposal
Application and Guidance- Part 2,
Section B
State Demonstration Proposal
Application and Guidance- Part 2,
Section B
State Demonstration Proposal
Application and Guidance- Part 2,
Section B
State Demonstration Proposal
Application and Guidance- Part 2,
Section C
State Demonstration Proposal
Application and Guidance- Part 2,
Section E

State Demonstration Proposal
Application and Guidance- Part 1,
Attachment 2
State Demonstration Proposal
Application and Guidance- Part 1,
Attachment 4
State Demonstration Proposal
Application and Guidance- Part 1,
Attachment 5
State Demonstration Proposal
Application and Guidance- Part 1,
Attachment 6
State Demonstration Proposal
Application and Guidance- Part 1,
Attachment 7
State Demonstration Proposal
Application and Guidance- Part 2,
Section B
State Demonstration Proposal
Application and Guidance- Part 2,
Section B
State Demonstration Proposal
Application and Guidance- Part 2,
Section B
State Demonstration Proposal
Application and Guidance- Part 2,
Section B
State Demonstration Proposal
Application and Guidance- Part 2,
Section B
State Demonstration Proposal
Application and Guidance- Part 2,
Section C
State Demonstration Proposal
Application and Guidance- Part 2,
Section E

State Demonstration Proposal
State Demonstration Proposal
Application and Guidance- Part 3 Application and Guidance- Part 3

Addition
Addition

Minor addition in Section B: Added language to include activities the state has
conducted related to CCBHCs since the behavioral health field has begun to utilize the
program since the last round of planning grants were awarded
Addition in Section B: Added question related to the coordination of 988 Suicide & crisis
lifeline and other community crisis response systems since these have been expanded
since last application

Yes-additional 0.5 hour
Yes-additional 0.5 hour

Addition

Addition in Section B: Added section on having states define the geographic catchment
areas

Yes-additional 0.5 hour

Addition

Addition in Section B: Added section on state’s plan to add additional CCBHCs into the
Demonstration in the future

Yes-additional 0.5 hour

Revision

Revision in Section C: expanded description to discuss timely input to CCBHCs on statecollected quality measures.

None

Revision

Revision in Section E: Updated section to correspond with specific measures and the
four-year Demonstration from the original two-year Demonstration period

None

Addition

Additions made throughout section to incorporate the new PPS options (CC PPS-3 and
CC PPS-4)

None

Demonstration Application Changes Crosswalk

2015 (old version)

2023 (new version)

State Demonstration Proposal
State Demonstration Proposal
Application and Guidance- Part 3 Application and Guidance- Part 3

Type of
Change
Revision

State Demonstration Proposal
State Demonstration Proposal
Application and Guidance- Part 3, Application and Guidance- Part 3,
Section 2.1
Section 2.1

Revision

State Demonstration Proposal
State Demonstration Proposal
Application and Guidance- Part 3, Application and Guidance- Part 3,
Section 2.1
Section 2.1

Addition

State Demonstration Proposal
State Demonstration Proposal
Application and Guidance- Part 3, Application and Guidance- Part 3,
Section 2.2
Section 2.2

Revision

State Demonstration Proposal
State Demonstration Proposal
Application and Guidance- Part 3, Application and Guidance- Part 3,
Section 2.2
Section 2.2

Addition

State Demonstration Proposal
State Demonstration Proposal
Application and Guidance- Part 3, Application and Guidance- Part 3,
Section 2.2
Section 2.2

Revision

State Demonstration Proposal
State Demonstration Proposal
Application and Guidance- Part 3, Application and Guidance- Part 3,
Section 2.3
Section 2.3

Addition

State Demonstration Proposal
State Demonstration Proposal
Application and Guidance- Part 3, Application and Guidance- Part 3,
Section 2.4
Section 2.4
State Demonstration Proposal
Application and Guidance- Part 3,
Section 4
State Demonstration Proposal
Application and Guidance- Part 3,
Section 5

State Demonstration Proposal
Application and Guidance- Part 3,
Section 4
State Demonstration Proposal
Application and Guidance- Part 3,
Section 6

State Demonstration Proposal
State Demonstration Proposal
Application and Guidance- Part 3, Application and Guidance- Part 3,
Section 5
Section 6

Reason for Change
Revisions made to formatting for clarity

Burden Change
None

Yes- All changes made for Part 3,
Revised the Annual PPS Update, Quality Bonus Payment (QBP) section and added the section 2 will add a total additional
Interim Payment Methodology for Rebasing section to align with updates in PPS
1.25 hour burden for each state to
guidance related to annual updates and mandatory rebasing timeframes
complete Part 3, Section 2.1, 2.2, 2.3
or 2.4
Yes- All changes made for Part 3,
section 2 will add a total additional
Question added under QBP section related to how thresholds and payments reflect
1.25 hour burden for each state to
improved performance to allow additional oversight on QBPs.
complete Part 3, Section 2.1, 2.2, 2.3
or 2.4
Yes- All changes made for Part 3,
Revised the Annual PPS Update, QBP section and added the Interim Payment
section 2 will add a total additional
Methodology for Rebasing section to align with updates in PPS guidance related to
1.25 hour burden for each state to
annual updates and mandatory rebasing timeframes.
complete Part 3, Section 2.1, 2.2, 2.3
or 2.4
Yes- All changes made for Part 3,
section 2 will add a total additional
Question added under QBP section related to how thresholds and payments reflect
1.25 hour burden for each state to
improved performance to allow additional oversight on QBPs.
complete Part 3, Section 2.1, 2.2, 2.3
or 2.4
Yes- All changes made for Part 3,
section 2 will add a total additional
Revised Special Population (SP) section to reflect updated PPS guidance that changed
1.25 hour burden for each state to
SP from a mandatory to optional requirement for the PPS-2 methodology
complete Part 3, Section 2.1, 2.2, 2.3
or 2.4
Section added to reflect incorporate one of the two new PPS options, PPS-3, that is in
Yes- All changes made for Part 3,
the updated PPS guidance. The subsections added (DY1 Rate Data, Annual Rate
section 2 will add a total additional
Updates, Interim Payment Methodology for Rebasing, and QBPs) mirror those present
1.25 hour burden for each state to
under PPS-1 in Section 2.1, and Special Crisis Services (SCS) Rate section is a new
complete Part 3, Section 2.1, 2.2, 2.3
section to Part 3 and was added to reflect the components of PPS-3 in the updated
or 2.4
PPS guidance, mirrors same section in Section 2.4

Addition

Section added to reflect incorporate one of the two new PPS options, PPS-4, that is in
Yes- All changes made for Part 3,
the updated PPS guidance. The subsections added (DY1 Rate Data, Annual Rate
section 2 will add a total additional
Updates, Interim Payment Methodology for Rebasing, SP, Outlier Payments, and
1.25 hour burden for each state to
QBPs) mirror those present under PPS-2 in Section 2.2 and the Special Crisis Services
complete Part 3, Section 2.1, 2.2, 2.3
(SCS) Rate section is a new section to Part 3 and was added to reflect the components
or 2.4
of PPS-4 in the updated PPS guidance, mirrors same section in Section 2.3

Revision

Minor revisions to terminology added for clarity

Revision

Addition

Revisions made to reflect additional methods for incorporating CCBHC PPS payments
into managed care included in the updated PPS guidance (may need to be removed
based on where final document lands)
Addition made to Question in Section 6.1 based on Federal register comment to allow
states to indicate that none of their payments for demonstration services are made
under managed care along with instructions for those selecting that option to skip the
remainder of Section 6.

None
None

None

Demonstration Application Changes Crosswalk

Type of
Change

Reason for Change

Burden Change

State Demonstration Proposal
State Demonstration Proposal
Application and Guidance- Part 3, Application and Guidance- Part 3,
Section 5.2
Section 6.2

Revision

Section 5.2- Added question for state to select type of managed care arrangement and
revised existing methodologies for incorporating into the managed care payment
methodology to reflect additional methods for incorporating CCBHC PPS payments into
managed care included in the updated PPS guidance

None

State Demonstration Proposal
State Demonstration Proposal
Application and Guidance- Part 3, Application and Guidance- Part 3,
Section 5.3
Section 6.3

Revision

Section title changed from PIHP and PAHP Coverage Areas in Managed Care States to
Managed Care Delivery System Operational Considerations and simplified question
check box related to use of PIHPs and PAHPs in the demonstration.

None

Addition

Added question for states to explain how they will ensure access to CCBHC services
from Managed Care Organizations (MCO), Prepaid Inpatient Health Plans (PIHP), or
Prepaid Ambulatory Health Plans (PAHPs). Explain how the state will ensure access to
CCBHC services from Managed Care Organizations (MCO), Prepaid Inpatient Health
Plans (PIHP), or Prepaid Ambulatory Health Plans (PAHP)s

Yes- Additional 0.25 hour

Addition

Added section for states to provide detail on how they will report CCBHC demonstration
claims and service level detail to align with requirements in updated CCBHC criteria and
PPS guidance

Yes- Additional 0.5 hour

Revision

Minor revisions made to increase clarity

2015 (old version)

2023 (new version)

State Demonstration Proposal
State Demonstration Proposal
Application and Guidance- Part 3, Application and Guidance- Part 3,
Section 6.3
Section 6.3
State Demonstration Proposal
Application and Guidance- Part 3,
Section 6
State Demonstration Proposal
Application and Guidance- Part 3,
Section 7
N/A
Supporting Statement
Revisions based on Comments
are below:
State Demonstration Proposal
Application and GuidanceIntroduction
State Demonstration Proposal
Application and Guidance- Part 1,
Attachment 6

State Demonstration Proposal
Application and Guidance- Part 3,
Section 6
State Demonstration Proposal
Application and Guidance- Part 3,
Section 7
Application for Additional CCBHCs
to the Demonstration
Supporting Statement- Clean
10.1.2020

State Demonstration Proposal
Application and GuidanceIntroduction
State Demonstration Proposal
Application and Guidance- Part 1,
Attachment 6

Addition
Revision

Created due to update in guidance to permit additional CCBHCs to be added to the
Demonstration, with questions gleaned from the Demonstration Application.
Supporting Statement was updated to reflect the actual number of clinics participating in
the demonstration, PA withdrawing from the demo, and KY and MI being added to the
demo.

None
yes
Yes

Addition

Minor addition to clarify eligibility for application.

None

Addition

Minor addition to clarify request.

None