Session 4 – Capturing CCBHC Services/Visits

Session 4 of the Financial Management and Sustainability Learning and Action Series will focus on understanding visits and utilization to develop a cost per client or cost per visit basis and its impact on financial management of the CCBHC program. The session will begin with foundational concepts, including Prospective Payment System (PPS) and value-based and alternative payment models, and then review approaches for linking projected client volumes to services and ultimately to various payment models. This discussion will end with how the future reporting needs of volume may impact the modification of existing billing systems and electronic health records; including data capture and reporting. The session will begin with review of homework from session three and end with a new assignment on evaluating client and service statistical reporting and the needs for potential revisions to existing systems.

Learning objectives:

• Learn how to project future clients and services that will impact future potential revenue streams.
• Understand CCBHC Medicaid Prospective Payment System (PPS) and value-based/alternative payment model rate-setting models and their impact on a sustainability plan.
• Understand the future demands on billing systems and electronic health records and evaluate the need to modify/replace existing systems.