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.
- Proposed SFY 2025 Requirements (PDF) (2/6/2024)
- Proposed SFY 2025 Measure Specifications (Excel) (2/6/2024)
- Stakeholder Feedback for SFY 2025 (PDF) (2/6/2024)
SFY 2024 (Y3) Measures and Requirements
- Y3 Requirements (PDF) (2/23/2023)
- Y3 Measure Specifications and FAQs (Excel) (9/8/2023)
- Stakeholder Feedback for Y3 (PDF) (2/23/2023)
- Y3 DPP BHS Data Master (Excel) (2/16/2024)
- Getting Ready for Quality Reporting (PDF) (6/28/23)
- Webinar recording: Getting Ready for Quality Reporting (6/28/23)
- Webinar slide deck: Getting Ready for Quality Reporting (PDF) (6/28/23)
SFY 2023 (Y2) Measures and Requirements
- Y2 Requirements (PDF) (1/13/2022)
- Y2 Measure Specifications (Excel) (3/23/2023)
- Y2 Measure Specifications FAQs (Excel) (3/23/2023)
- Stakeholder Feedback for Y2 (PDF) (3/1/2022)
- Data Visualization (Excel) (10/13/2023)
- Y2 DPP BHS Data Master (Excel) (10/13/2023)
SFY 2022 (Y1) Measures and Requirements
- Y1 Requirements (PDF) (12/1/2021)
- Y1 Measure Specifications (Excel) (4/8/2022)
- Y1 Measure Specifications FAQs (Excel) (4/8/2022)
- Stakeholder Feedback for Y1 (PDF) (3/13/2021)
- Y1 Provider-Reported Data (Excel) (10/27/2022)
Contact Information
- HHSC Provider Finance Department has more enrollment, eligibility and payment information for DPP BHS.
- For program eligibility and financial questions, email the Directed Payment Program for Behavioral Health Services.
- For questions on DPP BHS quality requirements and reporting, email HHSC DPP Quality.
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.