The Directed Payment Program for Behavioral Health Services is one of four directed payment programs HHSC has submitted for CMS approval as part of the Delivery System Reform Incentive Payment Transition Plan. The proposed start date is September 1, 2021.
Background
DPP BHS is a value-based directed payment program for community mental health centers to promote and improve access to behavioral health services, care coordination, and successful care transitions. It also incentivizes continuation of care for STAR, STAR+PLUS, and STAR Kids members using the Certified Community Behavioral Health Clinic model of care.
In Year 1, the program would include two components:
- Component 1 is a uniform dollar increase issued in monthly payments to all CMHCs participating in the program recognizing progress made toward certification or maintenance of CCBHC status and focusing on access and quality improvements such as telehealth services, collaborative care, integration of physical and behavioral health, and improved data exchange.
- Component 2 is a uniform percent increase on CCBHC services based on achievement of quality metrics that align with CCBHC measures and goals.
Program Rules and Requirements
- DPP BHS rules §353.1320 and §353.1322
- DPP BHS Requirements (PDF)
- DPP BHS Stakeholder Feedback (PDF) (3/13/2021)
- Measure Specifications for DPP BHS (Excel) (8/2/2021)
- Measure Specifications FAQs (Excel) (8/2/2021)
Contact Information
- Visit the HHSC Provider Finance website for more enrollment, eligibility and payment information for DPP BHS.
- For financial questions, email PFDAcuteCare@hhs.texas.gov.
- For questions on DPP BHS quality requirements, email DPPQuality@hhs.texas.gov.