CCBHC Billing Services 2026 — PPS-1 vs PPS-2 Reconciliation Playbook

CCBHC Billing Services 2026

Certified Community Behavioral Health Clinics (CCBHCs) are the fastest-growing BH funding category in 2026. State CCBHC expansion + Medicaid Demonstration expansion has doubled CCBHC counts. Each state has different PPS (Prospective Payment System) rules.

PPS-1 vs PPS-2 — What Every CCBHC CFO Needs to Know

PPS-1: Daily per-visit rate. Each CCBHC visit reimbursed at flat daily rate regardless of services provided that day.

PPS-2: Monthly per-consumer rate. Each active consumer generates monthly capitated payment.

Common CCBHC Denial Patterns 2026

  1. Encounter tracking gaps — PPS reconciliation requires exact encounter counts
  2. Non-CCBHC service billing on same day — creates billing conflicts
  3. Cross-state CCBHC coordination — for multi-state CCBHCs
  4. MHPAEA parity denials — commercial secondary payers denying CCBHC services

State CCBHC Expansion 2025-2026

New CCBHC certifications: NY, NJ, MA, WA, OR, MO, IL, KY, CA, FL, GA, MI, PA, WI, TN, OH — nearly every state with active BH provider networks.

$1.04M CCBHC-inclusive case study

Free 30-day CCBHC audit · Pricing 4-8%

– KD, Revenant Care