1. (1) Oregon Health Authority (Authority) must rebase each Certified Community Behavioral Health Clinic’s (CCBHC) bundled daily rate no less frequently than once every two (2) years based on finalized cost reports and actual encounter data.

2. (2) The Authority’s rebasing calculations considers the:

   1. (a) Total allowable costs for the rebasing year;
   2. (b) Total Medicaid and non-Medicaid encounters for the rebasing year;
   3. (c) Adjustments for approved scope of service changes during the rebasing period.
3. (3) New CCBHCs must submit a cost report to the Authority after the first 12 months of operation to establish an updated rebased rate.
4. (4) The Authority may stagger rebasing schedules to balance administrative workload, but no CCBHC shall go longer than two (2) years without a rebasing unless authorized by CMS.
5. (5) The Authority may request an updated cost report from a CCBHC when the CCBHC has an interruption in operations, whether this is due to suspension or termination of the CCBHC’s Oregon Health Plan enrollment or certification or other reasons.

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