Directed Payment Program for Behavioral Health Services (DPP BHS)

The Directed Payment Program for Behavioral Health Services is one of four directed payment programs (DPPs) HHSC submitted to the Centers for Medicare and Medicaid Services (CMS) for approval as part of the Delivery System Reform Incentive Payment Transition Plan. CMS approved DPP BHS for state fiscal year (SFY) 2024 (Year [Y] 3) on July 31, 2023.

Background

DPP BHS is a DPP for community mental health centers (CMHCs) to promote and improve access to behavioral health services, care coordination, and successful care transitions for individuals enrolled in the STAR, STAR+PLUS, and STAR Kids Medicaid managed care programs. It also incentivizes continuation of care for these individuals using the Certified Community Behavioral Health Clinic (CCBHC) model of care.

Proposed SFY 2025 Measures and Requirements

The proposed quality metrics and requirements are submitted to CMS for annual program review and approval. The final quality metrics and requirements will be posted following CMS’ approval.

SFY 2024 (Y3) Measures and Requirements

SFY 2023 (Y2) Measures and Requirements

SFY 2022 (Y1) Measures and Requirements

Contact Information

Rules

Reporting Portal Access

If you are participating in the DPP BHS program, you will use the reporting portal to access templates, review technical guidance, and submit your quality reporting. If you need to add a user or change access, submit a contact change form.