CCBHC model continues to expand, but faces some funding constraints
More uninsured people due to OBBBA Medicaid cuts, predicted to lead to millions losing Medicaid coverage, could increase uncompensated care costs and strain CCBHCs.
The certified community behavioral health clinics (CCBHCs) continue to expand their reach, serving nearly 3.4 million more individuals in 2025 compared to the previous year. Half of the new patients were those with serious mental illness or emotional disturbance. The number of CCBHCs grew by 9% between 2024 and 2025, with 539 clinics operating across the U.S. These clinics provide 24-hour crisis care and coordinate with local providers to reduce pressure on emergency departments and law enforcement.
There are two types of CCBHCs: those participating in Medicaid and receiving enhanced payment rates, and expansion grantees relying on federal funding. Half of the CCBHCs saw an increase in uninsured patients due to Medicaid cuts predicted by the One Big Beautiful Bill Act (OBBBA), which could lead to financial strain. The CCBHC model will continue to grow, with 10 new states selected for a federal Medicaid demonstration program and more CCBHC state planning grants expected.
However, CCBHC-Expansion clinics using SAMHSA grants may decline as COVID-era funding ends. Despite these challenges, CCBHCs report positive outcomes in justice system, housing, and employment for the individuals they serve.
Written by urgent.news from Fierce Healthcare's reporting — not their text. Machine-written — may contain errors; check the original before relying on it.
