[Medicaid] GenIC #45 (Revised): Certified Community Behavioral Health Clinic (CCBHC) 2024 State Proposal Demonstration Application

[Medicaid] Generic Clearance for Medicaid and CHIP State Plan, Waiver, and Program Submissions (CMS-10398)

OMB: 0938-1148

IC ID: 264851

Documents and Forms

Document Name Document Type
Form CMS-10398 #45 [Medicaid] GenIC #45 (Revised): Certified Community Behavioral Health Clinic (CCBHC) 2024 State Proposal Demonstration Application Form and Instruction
CMS-10398 #45 Application and Guidance to Participate in the Section 223 CCBHC Demonstration Program 2024 CCBHC Demonstration Application- Fillable.pdf Form and Instruction
CMS-10398 #45 Guidance on Addition of CCBHCs to Section 223 State Demonstration Programs Guidance on Addition of CCBHCs to Section 223 State Demonstration Programs (SAMHSA OAS Approved).pdf Form and Instruction
CMS-10398 #45 Criteria Compliance Checklist Criteria Compliance Checklist-State (6-28-23-SAMHSA OAS Approved).pdf Form and Instruction
GenIC #45 - Generic Supporting Statement (2023 version 9).docx Generic Supporting Statement IC Document
45 - CCBHC Demonstration Application- CMS SAMHSA Updates REDLINES 1-30-24 (004).docx Track Change: Demonstration Application IC Document
Demonstration Application Changes Crosswalk_CMS and SAMHSA 1-29-24_508.pdf Crosswalk: Demonstration Application IC Document
#45 CCBHC State Propoal Application_PRA Comment Responses 02-01-2024.pdf Response to Public Comments IC Document
lrp-ej3s-43jw - Comment.pdf Public Comment 43jw (National Council for Mental Wellbeing) IC Document
lrp-gu9v-ya9i - Cover Info and Comment.pdf Public Comment ya9i (affiliate.dhhs.nh.gov) IC Document
lrp-i3cc-afry - Cover Info and Comment.pdf Public Comment afry (healthmanagement.com) IC Document
lrq-i6xj-a3nh - Cover Info and Comment.pdf Public Comment a3nh (Myers and Stauffer, LC) IC Document
lrq-t2w5-z9dd - Cover Info and Comment.pdf Public Comment z9dd IC Document