The CCBHC Model vs. Fee-for Service
How the CCBHC Payment System Works

The national movement toward Certified Community Behavioral Health Clinics (CCBHCs) began with a Medicaid Demonstration in eight (8) states in 2017 and has gained major momentum over the last five (5) years.
There are now more than 500 CCBHCs in the U.S., serving an estimated 3 million people every year. Kennebec Behavioral Health began providing services as a Maine Certified Community Behavioral Health Clinic on July 1, 2025.
The CCBHC model is designed to address longstanding problems in behavioral healthcare by providing a Medicaid reimbursement structure that is based on each provider’s expected cost of delivering services, rather than the traditional system, under which providers are paid for units of service based on pre-set fee schedules. and provides clinics with sustainable financing to improve behavioral health systems.
This allows clinics to expand access to crisis services, focus on coordinated and integrated care, increase staffing, develop their IT infrastructure, and track and report on quality measures to improve client outcomes.
CCBHC Model vs. Traditional System | ||
Outcomes |
CCBHC Model |
Traditional System |
| Requires stopgap funding measures | ❌ |
✅ |
| Doesn’t reimburse providers for all services delivered to clients | ❌ |
✅ |
| Has led to chronic underfunding and a workforce crisis | ❌ |
✅ |
| Enables providers to forecast community needs | ✅ |
❌ |
| Expands access for everyone, regardless of their ability to pay | ✅ |
❌ |
| Unlocks millions in federal funding | ✅ |
❌ |
| Ensures new clients can access outpatient services within 10 days | ✅ |
❌ |
| Makes crisis services available 24/7 and delivered within three (3) hours | ✅ |
❌ |
| Allows providers to hire and retain staff needed to keep pace with growing demand for care | ✅ |
❌ |
| Requires outcomes reporting that provides population-level data | ✅ |
❌ |
| Mirrors the Federally Qualified Health Center (FQHC) model | ✅ |
❌ |
| Funds preventive and engagement services that are proven to reduce the risk of mental health crises and suicide | ✅ |
❌ |
| Supports crucial investments in quality and tech infrastructure | ✅ |
❌ |
