Alabama Department of Mental Health Docket 580-2-20-15 Proposed Rule

al-al-6a85ee06437f566491fcc805: 580-2-20-15 — Certified Community Behavioral Health Clinics

Comment Period Closed

Public comment closed · opened August 31, 2026.

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What this rule does

The proposed rule establishes requirements for Certified Community Behavioral Health Clinics (CCBHCs) in Alabama to provide comprehensive mental health and substance use disorder services, ensuring access regardless of a person's ability to pay. It outlines governance structure and community involvement criteria, emphasizing the importance of including individuals with lived experience in decision-making processes.

Plain-language description generated by AI — not the agency’s official summary, which we have not captured for this rule. Read the official text →

The rule, in full

4,755 words as published, August 31, 2026. View the original →

APA-1 TRANSMITTAL SHEET FOR NOTICE OF INTENDED ACTION Control: 580 Alabama Department of Mental Health, Mental Health Department or Agency: and Substance Abuse Services Rule No.: 580-2-20-15 Rule Title: Certified Community Behavioral Health Clinics Intended Action New Would the absence of the proposed rule significantly harm or No endanger the public health, welfare, or safety? Is there a reasonable relationship between the state’s police power and the protection of the public health, safety, or welfare? No Is there another, less restrictive method of regulation available that could adequately protect the public? No Does the proposed rule have the effect of directly or indirectly No increasing the costs of any goods or services involved? To what degree?: N/A that might result from the absence of the proposed rule?the harm No Are all facets of the rule-making process designed solely for the protection of the public?ave, as their primary effect, the Yes Does the proposed action relate to or affect in any manner any matter of the proposed rule?is a party to concerning the subject No Does the proposed rule have an economic impact? No If the proposed rule has an economic impact, the proposed rule is required to be accompanied by a fiscal note prepared in accordance with subsection (f) of Section 41-22-23, Code of Alabama 1975. Certification of Authorized Official I certify that the attached proposed rule has been proposed in full compliance with the requirements of Chapter 22, Title 41, Code of Alabama 1975, and that it conforms to all applicable filing requirements of the Administrative Procedure Division of the Legislative Services Agency. Signature of certifying officer Fred McCoy, III F IL E D Fred McCoy, III E C ’D & R U G 1 9,2 026 Date Wednesday, August 19, 2026 A EN C Y TIVE S VC A G LE G ISL A APA-2 ALABAMA DEPARTMENT OF MENTAL HEALTH, MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES NOTICE OF INTENDED ACTION AGENCY NAME: Alabama Department of Mental Health 580-2-20-15 Certified Community Behavioral RULE NO. & TITLE: Health Clinics INTENDED ACTION: New SUBSTANCE OF PROPOSED ACTION: The proposed action is to add the CCBHC requirements to the ADMH Administrative Code 580-2-20 TIME, PLACE AND MANNER OF PRESENTING VIEWS: By email to: Beth.Bergeron@mh.alabama.gov FINAL DATE FOR COMMENT AND COMPLETION OF NOTICE: Monday, October 5, 2026 CONTACT PERSON AT AGENCY: Beth.Bergeron@mh.alabama.gov Fred McCoy, III Fred McCoy, III (Signature of officer authorized to promulgate and adopt rules or his or her deputy) 580-2-20-15 Certified Community Behavioral Health Clinics. 580-2-20-.15 Certified Community Behavioral Health Clinics (CCBHCs). The purpose of this rule is to set forth, in addition to all other applicable rules, program requirements, activities and services for Community Mental Health Centers (CMHCs) per 580-2-20 who opt to operate as a Certified Community Behavioral Health Clinic (CCBHC) and are in compliance with most recent ADMH CCBHC Provider Manual. The purpose of a CCBHC is to: (a) Provide access to integrated services for all individuals regardless of pay source or ability to pay; (b) Provide a full array of mental health and substance use disorder services in every certified location, and provide, or coordinate with, primary care services; (c) Provide quality-driven and outcome-driven services as demonstrated through data reports and outcomes reports generated by the ADMH and providers; and (d) Provide enhanced integration and coordination of mental health, primary, and substance use disorder services and supports for people across the lifespan utilizing an interdisciplinary, team-based approach and in compliance with all requirements in the most recent ADMH CCBHC Provider Manual. (e) In order to be certified as a CCBHC, an entity must have a current contract in good standing for CCBHC services from ADMH. (2) Organizational authority, governance and accreditation In addition to meeting the requirements of 580-2-20-.03, the CCBHS Governance shall: (a) Maintain a structure that allows their Governance Board to be informed by representatives of People with Lived Experience (PWLE) of mental health and substance use conditions, as well as individuals being served by the CCBHC in terms of demographic factors identified in the CCBHC Needs Assessment. (b) Incorporate meaningful participation by adult and youth receiving CCBHC services with mental illness, adults and youth recovering from SUD, and family members of individuals receiving CCBHC services. (c) Demonstrate meeting one of the following CCBHC Governance options: 20-15-1

1. Option 1: 51% of the Board are families, individuals receiving

CCBHC services, or PWLE. The CCBHC shall demonstrate how they meet the requirement (or show a timeline of how they will do so by the date at which they will implement the CCBHC); or

2. Option 2: A substantial portion but less than 51% of the

governing board members are PWLE or a family member, and the CCBHC shall be required to create an Advisory Committee consisting of individuals receiving CCBHC services, people in recovery, and family members. The Advisory Committee shall provide meaningful input to the governing board about the CCBHC’s policies, processes, and services. This option shall be approved by the ADMH Office of CCBHC. (d) An Indian tribe, or tribal or urban Indian organization, CCBHCs shall reach out to such entities within their geographic service area and enter into arrangements with those entities to assist in the provision of services to tribal members and to inform the provision of services to tribal members. To the extent the CCBHC and such entities jointly provide services, the CCBHC and those collaborating entities shall satisfy the requirements of these criteria. (3) General Staffing Requirements In addition to personnel requirements of MHSU Administrative Code 580-2-20.03 and SU Administrative Code 580-9-44, shall meet the following: (a) In order to ensure adequate staffing, the facility shall complete a needs assessment and staffing plan, which reflect the needs of the recipient population.

2. The needs assessment will include both recipient and family/

caregiver input and will be updated regularly, but no less frequently than every three (3) years. (b) The facility operating the CCBHC will have policies and program descriptions to define how the CCBHC will operate a team dedicated to providing the range of specific services articulated elsewhere in this rule. (c) The facility shall have a fully staffed management team as appropriate for the size and needs of the clinic as determined by the current needs assessment and staffing plan. 20-15-2 1.The management team will include, at a minimum, an Executive Director and a psychiatrist as the Medical Director. 2. The Medical Director need not be a full-time employee.

3. The Medical Director will ensure the medical component of care

and the integration of behavioral health and primary care are facilitated.

4. If, after reasonable efforts have been made, a CCBHC is unable

to obtain a psychiatrist as a Medical Director, a medically trained behavioral health care professional with prescriptive authority and appropriate education, licensure, and experience in psychopharmacology, and who can prescribe and manage medications independently pursuant to state law, may serve as the Medical Director if written approval from ADMH is obtained. However, in these instances the CCBHC must obtain consultation from a psychiatrist regarding medical and clinical service delivery. (d) The facility must maintain liability/malpractice insurance adequate for the staffing and scope of services provided. (e) Compliance with this rule shall be determined by a review of policies, facility needs assessment, organizational chart, clinic liability and malpractice insurance documentation. (4) Interdisciplinary Team (IDT) Structure within the CCBHC shall organize treatment through an interdisciplinary team that includes individuals who are working together to coordinate the medical, psychiatric, psychosocial, emotional, therapeutic, and recovery support needs of the individual receiving services, based on the person’s assessed needs, and includes the recipient, the family/legal representative and any other person of recipients choosing, if the recipient consents. (a) All members of the interdisciplinary team shall participate in the treatment planning process. (5) Staff Training. In addition to the requirements found in 580-2-20-.03 trainings shall be conducted upon hire/contracting and each calendar year thereafter for all CCBHC employees on the following topics: (a) Person/Family-centered, recovery oriented, evidence-based and trauma-informed care; (b) Primary care/behavioral health integration; and (c) Best practices in utilization of family support providers and peer recovery support specialists. 20-15-3 (d) The facility shall assess the skills and competence of each individual furnishing services and, as necessary, provide in- service training, supervision and education programs. The facility will have written policies and procedures describing its method(s) of assessing competency and maintains a written accounting of the in-service training provided during the previous 12 months. (e) Individuals providing staff training must be qualified as evidenced by their education, training and experience. (f) Compliance with these rules shall be determined by a review of policies and procedures and personnel records. (6) Linguistic Access to CCBHC Services. CCBHCs, in addition to requirements in 580-2-20-.08 and 580-2-20-.09, shall implement requirements per most recent ADMH CCBHC Provider Manual. (7) Access and Availability of Services. CCBHCs shall meet the following requirements related to access and availability of services: (a) The CCBHC’s environment shall be safe, functional, clean, sanitary, and welcoming for everyone. CCBHCs are encouraged to operate tobacco-free campuses. (b) Informed by the community needs assessment, CCBHCs shall:

1. Provide services during times that facilitate accessibility

and meet the needs of the population served by the CCBHC, including some evening and weekend hours.

2. Provide services at locations that ensure accessibility and

meet the needs of the population to be served, and, as appropriate and feasible, in the homes of individuals receiving services. (c) Transportation or transportation vouchers for individuals receiving CCBHC services shall be provided to the extent possible with relevant funding or programs to facilitate access to services in alignment with the person-centered and family- centered treatment plan. CCBHC shall meet criteria for transportation per 580-2-20-.09. (d) The uses of telehealth/telemedicine, video conferencing, remote patient monitoring, asynchronous interventions, and other technologies, to the extent possible, in alignment with the preferences of the individual receiving services to support access to all required services. 20-15-4 (e) Any other required additional capacity as outlined in the most recent ADMH CCBHC Provider Manual shall be followed. (f) CCBHCs provide services in the community outside of their clinic sites’ four walls, to promote accessible services. (g) Connection to the Alabama Health Information Exchange, One Health platform, to exchange data with community partners like hospital systems and residential providers for care coordination. (h) Connection to the state-sanctioned crisis system, including a care coordination agreement with the nearest 24/7 Crisis Stabilization Center (if the CCBHC itself is not certified to provide this service). (i) CCBHCs shall conduct outreach, engagement, and retention activities to support access for all individuals and populations. (j) CCBHCs shall have the capacity to offer both voluntary and court-ordered services. Both services are subject to all state standards for the provision of both. (k) CCBHCs shall have a continuity of operations/disaster plan. The plan shall include the ability to effectively notify staff, individuals receiving services, and healthcare and community partners when a disaster/emergency occurs or services are disrupted, alternative locations and methods to sustain service delivery and access to behavioral health medications, and health IT systems security/ransomware protection and backup and access to these IT systems, including health records, in case of disaster. (8) Scope of Services. In addition to the requirements of 580-2-20, the CCBHC shall provide the full scope of services as defined by SAMHSA’s-CCBHC requirements. Services may be provided directly or through Designated Collaborating Organizations (DCO). The CCBHC shall directly provide at a minimum fifty-one (51) percent of all services provided. (a) CCBHCs shall have the capacity either directly or via DCO to deliver the following nine required services:

1. Crisis Services CCBHCs shall meet the following requirements

for twenty-four hours, seven days per week (24/7) crisis services: (i) Provide crisis services directly or through a DCO agreement with existing state-sanctioned, certified, or licensed system or network for the provision of crisis behavioral health services. 20-15-5 (ii) Provide crisis management services that are available and accessible 24 hours a day, seven days a week, including a mobile response to crisis. (iii) Either directly provide or establish a care coordination agreement/process with the nearest 24/7 Crisis Stabilization Center, in order to assist individuals to engage in CCBHC services following their discharge (when appropriate based on their needs and preferences). (iv) Provide follow up and further de-escalation support as needed by the individual receiving services/family for 72 hours following a mobile crisis response. (v) Key service functions for CCBHC crisis services shall include the following: (vi) Specifying factors that led to the individual receiving services crisis state, when known. (k) CCBHCs shall have a continuity of operations/disaster plan. The plan shall include the ability to effectively notify staff, individuals receiving services, and healthcare and community partners when a disaster/emergency occurs or services are disrupted, alternative locations and methods to sustain service delivery and access to behavioral health medications, and health IT systems security/ransomware protection and backup and access to these IT systems, including health records, in case of disaster. (8) Scope of Services. In addition to the requirements of 580-2-20, the CCBHC shall provide the full scope of services as defined by SAMHSA’s-CCBHC requirements. Services may be provided directly or through Designated Collaborating Organizations (DCO). The CCBHC shall directly provide at a minimum fifty-one (51) percent of all services provided. (a) CCBHCs shall have the capacity either directly or via DCO to deliver the following nine required services:

1. Crisis Services CCBHCs shall meet the following requirements

for twenty-four hours, seven days per week (24/7) crisis services: (i) Provide crisis services directly or through a DCO agreement with existing state-sanctioned, certified, or licensed system or network for the provision of crisis behavioral health services. 20-15-6 (ii) Provide crisis management services that are available and accessible 24 hours a day, seven days a week, including a mobile response to crisis. (iii) Either directly provide or establish a care coordination agreement/process with the nearest 24/7 Crisis Stabilization Center, in order to assist individuals to engage in CCBHC services following their discharge (when appropriate based on their needs and preferences). (iv) Provide follow up and further de-escalation support as needed by the individual receiving services/family for 72 hours following a mobile crisis response. (v) Key service functions for CCBHC crisis services shall include the following: (vi) Specifying factors that led to the individual receiving services crisis state, when known. (vi) Specifying factors that led to the individual receiving services crisis state, when known. (ii) Complete the screening tools as a part of the Comprehensive Assessment process. (iii) In the event specialized services outside the expertise of the CCBHC are required for purposes of screening, assessment, or diagnosis (e.g., neuropsychological testing or developmental testing and assessment), the CCBHC refers the individual to an appropriate provider. 3. Person-Centered and Family Centered Treatment Planning (Individual Service/Treatment Plan). In addition to the requirements of 580-2-20-.08 and 580-2-20-.09, and the most recent ADMH CCBHC Provider Manual, the CCBHC shall: (i) Be provided by the CCBHC directly or through a DCO. CCBHC may work collaboratively with DCOs to complete these activities. (ii) Have all members of the interdisciplinary team participate in the treatment planning process. This includes interdisciplinary team members from DCOs and other partnering agencies. (iii) The individual treatment/service plan shall include but not limited to the following: 20-15-7 (I) A crisis prevention/safety plan, focusing on crisis prevention and the recipient’s preferred interventions in the event to a crisis. (II) Advanced directives where the recipient desires. CCBHC shall document any advanced directives related to treatment and crisis prevention/safety plan. At a minimum, each recipient served shall be engaged to develop a crisis prevention/safety plan, if recipient does not wish to share their preferences, that decision shall be documented. (III) Integration of behavioral health, physical health, and intellectual/developmental disability needs. (IV) Goals that are expressed in the words of the individual being served. (V) Interventions to address required needs and the modality and frequency of those interventions. (IV) Address the recipient’s prevention, medical, and behavioral needs. 4. Outpatient Mental Health and Substance Use Disorder Services shall be provided directly by CCBHC or through a DCO per 580-2-20-.10 and 580-9-44-.15 and the most recent ADMH CCBHC Provider Manual for all populations (e.g. adults, children, adolescent, co-occurring, women and dependent children, etc.). When there is a discrepancy between these rules, CCBHC shall follow criteria in the most recent ADMH CCBHC Provider Manual. 5. Outpatient Clinic Primary Care Screening and Monitoring CCBHCs shall provide outpatient primary care screening and monitoring of key health indicators and health risk per the most recent ADMH CCBHC Provider Manual. Prevention is a key component of primary care screening and monitoring services provided by the CCBHC. (i) The CCBHC’s Medical Director or designee if using a DCO shall establish written protocols that conform to screening recommendations with scores of A and B, of the United State Preventive Services Task Force Recommendations. (ii) The CCBHC’s written protocols for primary care screening and monitoring shall include the following: (I) Processes for identifying people receiving services who are living with chronic diseases, including but not limited to HIV and viral hepatitis; 20-15-8 (II) Ensuring that people receiving services are asked about physical health symptoms; and (III) Establishing systems for collection and analysis of laboratory samples, per requirements of the most recent ADMH CCBHC Provider Manual. (IV) Ensure these services are received in a timely fashion, preferably during the initial assessment, which is a whole-person assessment. (V) Performed routinely for some elements and when medically necessary for others, based on the guidance of the CCBHC’s Medical Director or designee and in alignment with scores of A and B of the United States Prevention Services Task Force Recommendations. (iii) CCBH shall also coordinate with each recipient’s primary care provider to ensure that screening occurs for the identified conditions: (I) If the recipient’s primary care provider conducts the necessary screening and monitoring, the CCBHC is not required to do so if it has a documented record of the screening and monitoring. (II) If the individual refuses screening or refuses to sign a release of information to coordinate with primary care provider, this shall be noted in the recipient’s record. Attempts to obtain all documentation shall be documented in the recipient's record. (iv) Documentation of all screening and monitoring shall be in the recipient's record. 6. Targeted Case Management (TCM) Services - CCBHC targeted case management (TCM) provides an intensive level of support that goes beyond the care coordination that is a basic expectation for all individuals served by the CCBHC. CCBHC shall provide TCM set forth in the most recent ADMH CCBHC Provider Manual. (i)CCBHC targeted case management shall include support for individuals deemed at high risk of suicide or overdose, particularly during times of transitions such as discharge from: (I) Residential treatment (II) Hospital emergency department (III) Psychiatric hospitalization 20-15-9 (IV) Incarceration (ii) CCBHC shall consider the following recipients as being able to possibly benefit from TCM: (I) Individuals transitioning from carceral settings. (II) Individuals transitioning from residential treatment. (III) Individuals transitioning from inpatient treatment. (IV) Individuals transitioning from a hospital emergency department. (V) Individuals screening high on social drivers of health screening. (VI) Individuals who have a short-term need for support in a critical period, such as an acute episode or care transition. (VII) Individuals experiencing episodes of homelessness. 7. Psychiatric Rehabilitation Services (PRS) In addition to SAMHSA requirements and the most recent ADMH CCBHC Provider Manual, the CCBHC shall meet the following: (i) Psychiatric Rehabilitation Services (PRS) promote recovery for anyone with mental health or substance use issues that have hindered them from completing tasks to achieve their self-defined goals. (ii) Provide directly, or through a DCO, evidence-based rehabilitation services for both mental health and substance use disorders. 8. Peer Supports and Family/Caregiver Supports. CCBHC shall provide Peer Support as outlined in 580-2-20, the most recent ADMH CCBHC Provider Manual and the following: (i) Peer Services are defined as: (I) The provision of scheduled interventions by a certified peer counselor, who is in recovery from a substance use or co- occurring substance use and mental illness disorder, to assist individuals receiving CCBHC services in the acquisition and exercise of skills needed to support recovery. (II) Services may include activities that assist individuals receiving CCBHC services in: 20-15-10

III. Provide guidance in the development of natural community

support and basic daily living skills. (ii) Peer Support Services provide structured, scheduled activities that promote socialization, recovery, self-advocacy, development of natural support, and maintenance of community living skills, by Certified Peer Specialists (Adult, Youth, Family Peer Specialists, Recovery Support Specialist). (iii) A peer support specialist shall meet the requirements per 580-2-20.03 and/or 580-9-44.03. 9. Intensive Community-Based Mental Health Care for Uniformed Service Members and Veterans. CCHBCs shall be compliant with SAMHSA’s CCBHC Criteria, the most recent ADMH CCBHC Provider Manual, and all state and federal guidelines regarding veteran care. (a) Recipient of services shall have the right to choose providers within the CCBHC and its DCOs. This requirement does not preclude the use of referrals outside the CCBHC or DCO if a needed specialty service is unavailable through the CCBHC or the DCO entities. (b) Services provided by a DCO shall meet the same quality standards as those provided by the CCBHC and shall satisfy the mandatory aspects of these standards. (10) Care Coordination Activities. CCBHCs have established care coordination partnerships with all entities outlined in the SAMHSA CCBHC Criteria and the most recent ADMH CCBHC Provider Manual. These partnerships shall be supported by a signed formal agreement detailing the roles of each party. (a) If the partnering entity is unable to enter into a formal agreement, the CCBHC may work with the partner to develop unsigned joint protocols that describe procedures for working together and roles in care coordination. (b) At a minimum, the CCBHC shall develop written protocols for supporting coordinated care undertaken by the CCBHC and efforts to deepen the partnership over time so that jointly developed protocols or formal agreements can be developed. All partnership activities shall be documented to support partnerships independent of any staff turnover. 20-15-11 (c)CCBHCs shall:

1. Establish care coordination agreements with the entities as

defined in the most current ADMH CCBHC Provider Manual. (11) CCBHC Community Needs Assessment. Agencies shall complete and submit to the Office of CCBHC a community needs assessment. The needs assessment shall be updated regularly, but no less frequently than every three (3) years. The needs assessment and subsequent needs assessment updates shall inform the CCBHC’s staffing plan, as well as decision related to program operations (e.g., site locations, hours of operation, etc.). The provider will follow all applicable guidelines as established in the most recent ADMH CCBHC Provider Manual. (12) CCBHC Site Definitions – Full, Satellite, and Access Point Sites. Agency shall identify all physical site locations for which it is requesting certification. Based on the services being provided, each location shall be designated as one of the following site types:

2. Satellite Site of the Full CCBHC Sites – These are CCBHC

sites that provide, at minimum, all of the following core CCBHC services: (i) 24/7 crisis services; (ii) Screening, diagnosis, and risk assessment; (iii) Person and family centered treatment planning; and (iv) Outpatient mental health and substance use services. (v) Serve individuals of all ages, including both children and adults. (vi) Sites shall be reasonably accessible to one or more Full CCBHC site locations, to ensure access to all CCBHC services when needed/desired by a client.

3. Access Points to the Full CCBHC Site – These are sites that

are operated by the CCBHC or one of its DCOs that are delivering less than the four core CCBHC services listed in the Satellite Site criteria. (i) While an Access Point may serve particular populations (e.g., children or adults only), the Access Point shall at minimum be 20-15-12 able to serve individuals with mental health and substance use needs. (ii) Access Point sites shall offer one or more CCBHC services and shall be reasonably accessible to a full CCBHC site location, in order to ensure access to all CCBHC services when needed/ desired by an individual. (13) CCBHC Certification Process. The certification rating assigned to an agency is determined by its level of compliance with established standards, as evidenced through the certification review, desk audit, and site visit. Providers should reference the ADMH CCBHC provider manual for a full description of the certification process. (14) Integrated Care for Individuals with Co-occurring Disorders. CCBHCs shall have the capacity to provide services to individuals with co-occurring mental health and substance use needs per criteria in 580-2-20-.10, 580-9-44 and the most recent ADMH CCBHC Provider Manual. When there is a discrepancy between these rules and ADMH CCBHC Provider Manual, the CCBHC shall adhere to the most recent ADMH CCBHC Provider Manual. (15) Services Delivered Via Telehealth. The CCBHC shall develop, maintain and document policies and procedures on utilization of Telehealth that meet all state and federal regulatory requirements, to include HIPPA compliance and Alabama Medicaid requirements. (16) Required Evidence Based Practices (EBP). CCBHCs shall utilize Evidence Based Practices based on their Community Needs Assessment in addition to the requirements of the most recent ADMH CCBHC Provider Manual. (17) Emergency/Crisis, Urgent, and Routine Needs Defined. An emergency/crisis need is indicated when an individual presents a likelihood of immediate harm to self or others. When this occurs, appropriate action (e.g., crisis services) shall be taken immediately. (a) An urgent need is indicated when an individual presents a need for service that, if not addressed immediately, could result in the individual becoming a danger to self or others or could cause a health risk. The initial evaluation shall be conducted within one (1) business day of the time the request is made. (b) A routine service need is indicated when an individual requests services or follow-up but otherwise presents no significant impairment in the ability to care for self and no 20-15-13 apparent harm to self or others. The initial evaluation shall be conducted within ten (10) business days. (18) Same-Day/Next-Day Access. A CCBHC is considered to be providing same-day/next-day access if any individual contacting the CCBHC in person or by phone during any day of the work week is given the opportunity to meet with qualified staff, who will complete an eligibility determination and provide initial services, on the same workday or the next workday, at the CCBHC site or via telehealth. (a)For an individual with an emergency/crisis needs, “first contact” is defined as the date and time on which an individual seeking services calls, or presents in person, whichever comes first. (b)For an individual with an urgent or routine needs, “first contact” is defined as the date on which an individual presents in person at the CCBHC seeking services. (19) Designated Collaborating Organizations (DCO). A DCO is an entity that is not under the direct supervision of the CCBHC but is engaged in a formal relationship with the CCBHC to deliver one or more (or elements of) of the required CCBHC services. CCBHCs shall meet the requirements related to establishing agreements with DCO as established in the ADMH CCBHC Provider Manual. (20) CCBHC Service Enrollment. Any individual with a mental health or substance use disorder diagnosis is eligible to receive CCBHC services regardless of their inability to pay or place of residence, homelessness, or lack of a permanent address. Individuals eligible for CCBHC services shall be identified by the CCBHC using a multifaceted outreach and engagement approach for both Medicaid and non-Medicaid beneficiaries. The enrollment process shall follow all guidelines as defined in the ADMH CCBHC Provider Manual. (21) Data Reporting and Continuous Quality Improvement (CQI). In addition to requirements of 580-2-20.07 and the most recent ADMH CCBHC Provider Manual, CCBHC shall: (a) Have the capacity to collect, report, and track encounter, outcome, and quality data, including, but not limited to, data capturing:

9. Outcomes of people receiving services.

(b) Additionally, CCBHCs shall collect and report Clinic- Collected quality measures, as specified in the most recent ADMH CCBHC Quality Provider Manual. Author: DMH/MR Office of Certification Statutory Authority: Code of Ala.197 , § 22-50-11 History: New Rule: Published ______; effective ______. 20-15-15

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