CCBHC Steps to Certification

Resources

•Webinar follow-up communication

•Webinar recording and slide deck link

• HHSC Reviewer’s Checklist (draft Oct 2018)

• HHSC Certification Overview and Clarification Guide (draft Sept. 2018)

• SAMHSA CCBHC Criteria and Texas Reviewer Checklist Crosswalk (draft Sept. 2018)

• Anticipated Certification Readiness Survey link

• Quarterly time periods from now until September 2021

• Submit CCBHC questions to Jolene Rasmussen at jrasmussen@txcouncil.com

• Certification FAQ document will be posted on the Texas Council intranet; frequency of update to the document TBD

2

HHSC CCBHC Certification Process

1) Submit Policies and Procedures (P&Ps)

2) HHSC Review, Feedback and Scoring

3) Revise and Resubmit (if applicable)

4) Approval of P&Ps

5) Certification Visit

Upon successful completion of the certification process,

site will be recognized by HHSC as a CCBHC (effective

for 3 years).

Policy and Procedures Submission

Additional Things to Consider‒

•Desk audit - assume the reviewer knows little if anything about

your organization

•Documentation should be organized and clearly address

requirement(s)

• P&Ps should be complete and not reference general documents

(e.g.UM Guidelines or Texas Administrative Code)

•Many items will be integrated into numerous P&Ps (e.g. person-

centered care, trauma-informed care)

• P&Ps should be current

Certification Visit

•HHSC meets with site leadership and conducts

interviews with leadership, team leads, and front line

staff to assess organization-wide understanding and

implementation of new/revised P&Ps and the CCBHC

model of care

•Note that P&Ps should be part of the PDSA process

•Requires staff training/retraining

•Reflects operations

Certification Guidance

•Begin with HHSC Certification Overview and

Clarification Guide

•Additionaly, refer to Crosswalk between

SAMHSA and Texas CCBHC Reviewer’s checklist

•Recommend including current P&Ps and then

identify gaps, outdated P&Ps etc.

Reviewer’s Checklist

•Rating:

•1 - Ready to Implement;

•2 - Mostly Ready to Implement;

•3 - Ready to Implement with Remediation;

•4 - Unready to Implement

•Site submits revised P&Ps for areas that were ranked as a 3 or 4

on the Texas Reviewer Checklist

• (This step is skipped if the site does not have any areas ranked

as 4 AND a minimum of 90% of the criteria elements are met)

Policies and Procedures

•Not created in a vacuum

•Team approach best, with assigned responsibility for

each P&P

•Useful to staff, minimizes impact of staff turnover, not

just for certification check box

•Requires training and retraining

•Continually updated to reflect operational changes

Policy and Procedure Components

Example template

•Purpose

•Scope

•Responsibility

•Overview

•Procedure

•Definitions

•References

Texas Evidenced-Based Practices

Adult Specific:

• SAMHSA Assertive Community Treatment (ACT)

• Cognitive Behavioral Therapy (CBT) and Cognitive Processing Therapy (CPT)

• SAMHSA Illness Management and Recovery (IMR)

• SAMHSA Integrated Treatment for Co-occurring Disorders

• SAMHSA Supported Employment and Permanent Supportive Housing

Child/Adolescent Specific:

• Nurturing Parent Training

• Trauma Focused CBT

• Case Management using the NWIC Wraparound model, when indicated

Applicable to all populations:

• Screening, Brief Intervention, and Referral to Treatment (SBIRT) model

• Motivational Interviewing

• Person-Centered Recovery Planning

• Seeking Safety

Steps To CCBHC Certification

Additional activities‒

• Training opportunities; interest inquiry survey due today February 21,

2019

• TICTOC 3.0 to begin August 2019

• Middle Management Academy

• Just in Time Prescriber Scheduling

• Support

• HR Consortium - staffing plan

• APM Development Mid-Project Meeting March 19, 2019

• Norris Conference Center, Austin

• Registration link will be distributed this week

• Will also include discussion of care coordination and SUD services

• Suggestions for webinars, communications, resources11

TITLE SLIDE

Supporting the CCBHC Model of Care