RFP 250000002670 - Appendix 6 - Projected CCBHC Funding.docx.pdf
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- Attached to
- Prepaid Inpatient Health Plan (PIHP) RFP
- Solicitation number
- RFP-171-250000002670-3
- Issued by
- Michigan
About this file
This document is an Appendix from the State of Michigan, Department of Health and Human Services, specifically related to the Medicaid Behavioral Health Program Procurement, focusing on Certified Community Behavioral Health Clinic (CCBHC) Demonstration Funding. The document provides projected funding details for three regions (Northern, Central, and Metro) across State Fiscal Years (SFY) 2023, 2024, and 2025, with a forward-looking perspective to SFY 2027.
The funding projections are based on rate certifications and reflect potential CCBHC funding assumptions, with total projected funding ranging from $328.6 million in SFY 2023 to $654.6 million across different regions. Notably, the Northern region has not had a CCBHC in the demonstration as of SFY 2025 and therefore receives no funding. The funding is divided into supplemental and base components, with the Central and Metro regions receiving the majority of the projected funds. The document emphasizes that these are rate-setting assumptions, and actual funding will depend on realized Medicaid-eligible daily visits, with reconciliation occurring through a year-end Financial Status Report (FSR) process. The projections do not include PIHP (Prepaid Inpatient Health Plan) administrative costs or quality bonuses.
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APPENDIX 6 – PROJECTED CCBHC FUNDING
Request for Proposal No. 250000002670 Prepaid Inpatient Health Plan (PIHP)
See below for details.
Draft and Confidential 7/24/2025
State of Michigan, Department of Health and Human Services
Medicaid Behavioral Health Program Procurement
Appendix 3 - Projected CCBHC Demonstration Funding ($ Millions)
SFY 2023 SFY 2024 SFY 2025
SFY 2027
Region Supplemental Base Total (PPS-1) Supplemental Base Total (PPS-1) Supplemental Base Total (PPS-1)
Northern $ 0.0 $ 0.0 $ 0.0 $ 0.0 $ 0.0 $ 0.0 $ 0.0 $ 0.0 $ 0.0
Central 51.2 145.7 196.9 263.3 150.0 413.3 238.4 152.4 390.8
Metro 46.3 85.4 131.6 120.1 91.2 211.2 138.7 125.1 263.8
Total $ 97.5 $ 231.1 $ 328.6 $ 383.4 $ 241.2 $ 624.5 $ 377.1 $ 277.5 $ 654.6
Notes:
1. The CCBHC funding shown is based on projections found in Appendix 8 of the following rate certifications:
a. SFY 2023 - SFY 2023 Behavioral Health Capitation Rate Certification - Amendment delivered 5/2/2023
b. SFY 2024 - SFY 2024 Behavioral Health Capitation Rate Certification July Amendment delivered 7/12/2024
c. SFY 2025 - Amendment 2 (January 2025 to September 2025 BH Capitation Rate Materials) delivered 3/4/2025
2. Values shown reflect rate setting assumptions, not actual experience. Actual funding depends on realized Medicaid-eligible daily visits. Differences between projected and actual experience is reconciled through a year-end FSR process, which is not included in this exhibit.
3. PIHP admin and quality bonus is not included in this exhibit.
4. The Northern region has never had a CCBHC in the CCBHC demonstration as of SFY 2025. Therefore, no CCBHC funding was provided to the Northern region.
Summary Milliman Page 1
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| Appendix 6 – PRojected ccbhc funding |
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