1. (1) Certified Community Behavioral Health Clinics (CCBHC) must:
   (a) Be enrolled and have a signed provider enrollment agreement as a Medicaid provider prior to CCBHC certification;

   1. (b) Obtain and maintain certification by Oregon Health Authority (Authority) Behavioral Health Division, as required by Oregon Administrative Rule (OAR) chapter 309, division 009;
   2. (c) Obtain a National Provider Identification (NPI) number governed by OAR chapter 943, division 120 and OAR chapter 410, division 120;
      (d) Complete provider enrollment forms as required by OAR 943-120-0300 through OAR 943-120-0320;
      (e) Ensure all CCBHC service delivery locations and Designated Collaborating Organizations as described in section (2) below are enrolled as required under OAR 410-120-1260 and these rules, OAR chapter 410, division 153;
   3. (f) Ensure all CCBHC facilities being enrolled are certified and approved in accordance with OAR 309-009-0030, including qualified satellite facilities and access facilities; and
   4. (g) Submit a list of Designated Collaborating Organizations as described in section (2) below with submission of provider enrollment, when changes are made, or within 30 calendar days of written request by the Authority.

2. (2) A qualified satellite facility is a facility owned and operated by a CCBHC that does not provide all required services but provides at minimum: crisis services, except mobile crisis; screening, diagnosis, and risk assessment; service planning; and outpatient mental health and substance use services within the scope of the CCBHC. This facility is included within the CCBHC certification is eligible for the daily bundled rate.

   1. (a) Qualified satellite facilities must be certified and approved by the Behavioral Health Division under OAR division 309 chapter 009
   2. (b) CCBHCs must ensure individuals receiving services at qualified satellite facilities have access to CCBHC services not provided at the qualified satellite facility;
   3. (c) Qualified satellite facilities must be within the service area of the CCBHC;
   4. (d) CCBHCs must notify the Authority of intent to add qualified satellite facilities, apply for certification of qualified satellite facility, and complete a change in scope if applicable.

3. (3) An access facility is an outpatient setting owned and operated by a CCBHC and subject to approval by the Authority that provides low barrier services that facilitate engagement and access to care within the scope of CCBHC. Access facilities offer unscheduled, voluntary services and are differentiated from CCBHC satellite facilities which must provide a set of required services.

   1. (a) Access facilities must be certified and approved by the Behavioral Health Division under OAR division 309 chapter 009;
   2. (b) CCBHCs must ensure individuals receiving services at access facilities have access to CCBHC services provided at approved CCBHC facilities;
   3. (c) Access facilities must be within the service area of the CCBHC;
   4. (d) CCBHCs must notify the Authority of intent to add access facilities, apply for approval of access facilities, and complete a change in scope if applicable.
4. (4) The CCBHC must notify the Authority in writing within 90 calendar days of adding or eliminating any of the required CCBHC services outline in OAR 410-153-0020, opening or closing a service site, or a change in ownership interest. The CCBHC must notify the Authority in writing within 90 calendar days of any change to a qualified satellite facility or Designated Collaborating Organization including adding or eliminating any of the required CCBHC services outline in OAR 410-153-0020, opening or closing a service site, or a change in ownership interest.
5. (5) Loss of CCBHC certification under OAR chapter 309 division 009 immediately terminates eligibility for bundled daily rate payment.
6. (6) CCBHC failure to maintain Medicaid enrollment may result in recoupment of improper payments or other sanctions consistent with OAR 410-120-1395 through OAR 410-120-1460.

Statutory/Other Authority

​ORS 413.042 & 414.065​

Statutes/Other Implemented

​ORS 414.065

History

DMAP 73-2025, adopt filed 09/26/2025, effective 10/01/2025