Community Behavioral Health Support (CBHS) services

Background

Community Behavioral Health Support (CBHS) services is a new program beginning July 1, 2024. This benefit will help people who have a significant mental health diagnosis and need additional support to live in a community setting like an adult family home or an assisted living facility.

This new service will replace Behavioral Health Personal Care (BHPC) managed care organization (MCO) wrap-around funding. Throughout the next year, home and community services will stop authorizing BHPC in a residential facility at the time the resident’s CARE assessment is due for renewal.

Providers must prepare for this transition to continue getting paid for providing support to current or new residents. More information about the steps providers need to take is available below.

BHPC MCO wrap-around funding will transition to CBHS Supportive Supervision.

How do I become a CBHS Supportive Supervision provider?

Completing an application in ProviderOne will allow HCA and MCOs to contract with you to provide CBHS services. To complete your application, either:

• View step-by-step instructions to complete ProviderOne application.
• Watch a recorded training about completing your application in ProviderOne.

Additional training and support

The Health Care Authority (HCA) will provide training and support for providers who want to offer this service.

Open office hours

The supportive supervision service is part of the new CBHS benefit. The goal of CBHS services is to provide individually tailored services that meet each person’s needs and provide stability, support independence, and help them stay in the community. These interventions are not related to the provision of personal care.

Supportive supervision is:

• A voluntary service.
• One-on-one in-person monitoring, redirection, diversion, and cueing of the client to prevent at risk behavior that may result in harm to the client or to others.
• Similar to what is currently provided under BHPC. 
• Providing individuals with assistance to build skills and resiliency to support stabilized living and integration.
• Coordinated as appropriate with other services, such as behavior support and/or crisis plans to help ensure community stability.

Provider types

• Adult family homes (AFH)
• Enhanced service facilities (ESF)
• Assisted living facilities (ALF)
  • Enhanced adult residential care facilities (EARC)
  • Adult residential care facility (ARC)

Who may be eligible?

A person may be eligible for CBHS services if they:

• Are 18 years of age or older and are Apple Health (Medicaid) eligible.
• Are eligible for or receiving Home and Community Services (HCS).
• Have a qualifying diagnosis.
• Are transitioning from an inpatient psychiatric setting or experience challenges living in community settings. These challenges may include:
  • Frequent hospitalizations.
  • Difficulty maintaining stays in residential settings.
  • High caregiver turnover within the past 2 years due to behaviors from a behavioral health condition.