CCBHC PPS-1 vs PPS-2 Billing — 2026 Guide
PPS-1 (Daily Rate)
- Per-day payment for encounters
- Simpler billing (1 unit per day per client)
- Lower risk (fixed per-day)
- Most states start here
PPS-2 (Monthly Rate)
- Per-month capitated payment per attributed client
- Requires attribution methodology
- Higher revenue potential (all-inclusive care)
- More sophisticated billing required
- Some states adopting after PPS-1 phase
State-by-State Status (2026)
- PPS-1 adoption: 20+ states
- PPS-2 adoption: 8 states
- Demonstration expansion continuing under SAMHSA
– KD, Revenant Care