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Section 223

The program is authorized under Section 223 of the Protecting Access to Medicare Act (PAMA) (PL 113-93). Program activities aim to integrate behavioral health with physical health care, increase consistent use of evidence-based practices, and improve access to high-quality care. Section 223 implementation includes a planning grant phase for 24 states, Massachusetts being one of those states. The planning grant will be followed by a demonstration program phase for eight of those 24 states.

Participating states certify community behavioral health clinics that meet federally developed criteria – 2015 (PDF | 785 KB) emphasizing accessible and high-quality care. The certified community behavioral health clinics (CCBHCs) are compensated for services through a prospective payment system (PPS).

The purpose of the planning grants is to help states plan for and prepare to participate in the two-year demonstration program. The funding supports states’ efforts to:

  • Certify CCBHCs
  • Establish a PPS
  • Improve data collection and reporting systems
  • Engage stakeholders in how the state will implement the program