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) 2022 (Year [Y] 1) on November 15, 2021. CMS approved DPP BHS for SFY 2023 (Y2) on August 1, 2022.

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.

The program includes two components:

  • Component 1 is a uniform dollar increase issued in monthly payments to all CMHCs participating in the program. As a condition of participation, providers are required to report progress made toward certification or maintenance of CCBHC status. They are also required to report on the implementation status of activities foundational to quality improvement such as telehealth services, collaborative care, integration of physical and behavioral health, and improved data exchange.
  • Component 2 is a uniform percent increase on certain CCBHC services. As a condition of participation, providers are required to report on metrics that align with CCBHC measures and goals. Providers that have CCBHC certification are eligible for a higher rate enhancement.

Proposed SFY 2024 (Y3) Measures and Requirements

HHSC will conduct an online public hearing on January 11, 2023, at 2:00 p.m. CST to receive public comment on proposed quality measures and reporting requirements for SFY 2024 (Y3) of DPP BHS. Additional information on the hearing is available on the HHS Meetings & Events Page

This hearing will be conducted online only and will not have a physical location. Please register for this hearing at this link.

Briefing Packet

Written Public Comments

Written comments regarding the proposed quality measures and reporting requirements may be submitted until 11:59 p.m. on January 27, 2023 at this link.

SFY 2023 (Y2) Measures, Requirements, and Evaluation

SFY 2022 (Y1) Measures, Requirements, and Evaluation

Contact Information

Rules

Forms

DPP Contact Change Form (PDF)