Implementation and Impact

Building a Stronger, More Connected Behavioral Health System

Montana recognized critical gaps in local mental health and substance use care—specifically around care coordination, crisis response, and timely access to treatment.

To address these needs, Montana adopted the CCBHC model. This framework gives you predictable, high-quality care by ensuring statewide access to around-the-clock crisis services, quick intake appointments, comprehensive outpatient treatment, and seamless care coordination.

To support these services, Montana chose Medicaid’s Prospective Payment System (PPS-1). This predictable daily funding model allows independent community clinics to hire dedicated staff, expand local programs, and deliver evidence-based care—all while strengthening local health care infrastructure across the state.

During the 2025 legislative session, House Bill 574 directed the Department of Public Health and Human Services (DPHHS) to apply for the federal CCBHC Demonstration Program and set an official launch date of Oct. 1, 2026.

April 1, 2026: Montana submitted its official federal application.
May 2026: Federal approval was granted with a 100% application score.
Financial Model: The program relies on a daily rate structure adjusted for inflation and cost of care (biennial rebasing).
Funding Source: Services are funded through the Behavioral Health System Funding Grant (BHSFG) special revenue account paired with matching federal Medicaid funds—using zero state general fund dollars.

The official CCBHC Demonstration launches on Oct. 1, 2026, marking the beginning of a long-term expansion plan:

Expanding Local Options: Montana will host additional application cycles starting in 2027, allowing more local clinics to seek CCBHC certification.
Expanding Service Areas: Once a certified clinic completes one year of operation, it can request to expand its service boundaries to reach more communities.
Improving System Connections: DPHHS is actively building statewide data-sharing systems and public resources to help local clinics communicate better and coordinate your care seamlessly.

Montana is committed to building a behavioral health system that lasts. As the CCBHC model grows, the state continues to focus on long-term funding and operational strategies. This ensures that you, your family, and local health care providers can depend on these expanded services for years to come.

The CCBHC model strengthens Montana’s entire health care ecosystem. If you are a community provider, partner, or health care facility operating outside a CCBHC, you can expect:

Easier Referrals: Smoother care transitions and clearer lines of communication between facilities.
Stronger Partnerships: New ways to collaborate on comprehensive treatment plans for patients and families.
Shared Resources: Better connections to a stronger, more responsive statewide network of care.

House Bill 574 (2025 Session) – Directive for CCBHC Demonstration implementation
House Bill 872 (2023 Session) – Behavioral Health System Funding Grant (BHSFG)