1.01Introduction and Program Description
The Department of Health, Division of Behavioral Health, is requesting proposals from eligible applicants to provide Certified Community Behavioral Health Clinic (CCBHC) services for the State of Alaska in FY2026. Program Services are authorized under 7 AAC 78 Grant Programs. Additional governing statutes are AS 47.30.520-620 Community Mental Health Services Act, 7 AAC 70 Behavioral Health Services, 7 AAC 135 Medicaid Coverage for Behavioral Health Services, AS 47.37 Uniform Alcoholism and Intoxication Treatment Act, AS47.30.655-.915 Alaska Civil Commitment Statutes, 7 AAC 70 Behavioral Health Services, 7 AAC 135 Medicaid Coverage Behavioral Health Services, 7 AAC 138 1115 Substance Use Disorder Waiver Services, 7 AAC 139 1115 Behavioral Health Waiver Services, and 7 AAC 160 Medicaid Program. State of Alaska statutes and regulations are accessible at the Department of Law Document Library or through the contact person identified on the cover page of this Request for Proposals (RFP).
The intent of this funding is to select two (2) Community Behavioral Health Clinics (one urban and one rural) to participate in the CCBHC Planning Grant efforts in partnership with the Division of Behavioral Health (DBH). Awardees will be required to meet certification criteria and become licensed by the State of Alaska as a Certified Community Behavioral Health Clinic (CCBHC).
The number of awarded applicants will be restricted based on available funding. Please review the two application groups listed in the following section carefully. Responding to the incorrect group may result in not being funded. It is the applicant's responsibility to submit a proposal to the correct group. Applicants must select Category 1 Urban Area or Category 2 Rural in accordance with the area where services are provided. These categories are defined by the 2024 Alaska Population Estimates by borough, census area, city or economic region.
Category 1 Urban Area: This category consists of boroughs or census areas with a population of 20,000 or more.
Category 2 Rural Area: This category consists of boroughs or census areas with a population of 19,999 or less.
The Division of Behavioral Health received Certified Community Behavioral Health Clinic planning grant award from the Substance Abuse Mental Health Services Administration (SAMHSA). To meet the requirements under this grant award, the State of Alaska will develop a CCBHC certification processes, license two CCBHCs that represent diverse geographic areas, establish a prospective payment system (PPS) for Medicaid-reimbursable services, and prepare an application that will be submitted to SAMHSA to participate in a four-year demonstration program.
CCBHCs are designed to ensure access to coordinated comprehensive behavioral health care and to improve patient outcomes within the authorities of state regulations, statutes, and state Medicaid Plans. CCBHCs are required to serve anyone who requests care for mental health or substance use, regardless of their ability to pay, place of residence, or age. This includes developmentally appropriate care for children and youth. CCBHCs must meet standards for the range of services they provide and are required to admit individuals into services quickly.
CCBHC Certification Criteria requires the following:
- Crisis services to be available 24 hours a day, 7 days a week.
- Care coordination to be provided to help patients navigate behavioral health care, physical health care, social services, and the other systems.
CCBHCs must provide the following nine (9) required CCBHC services directly or through formal partnership:
- Crisis Services
- Outpatient Mental Health and Substance Use Services
- Person- and Family-Centered Treatment Planning
- Community-Based Mental Health Care for Veterans
- Peer Family Support and Counselor Services
- Targeted Care Management
- Outpatient Primary Care Screening and Monitoring
- Psychiatric Rehabilitation Services
- Screening, Diagnosis and Risk Assessment
CCBHCs must adhere to strict certification criteria. These criteria establish a basic level of service at which a CCBHC should operate, and fall into six (6) key program areas:
- Staffing – Staffing plan driven by local needs assessment, licensing, and training to support service delivery.
- Availability and Accessibility of Services – Standards for timely and meaningful access to services, outreach and engagement, 24/7 access to crisis services, treatment planning, and acceptance of all patients regardless of ability to pay or place of residence.
- Care Coordination – Care coordination agreements across services and providers (e.g., Federally Qualified Health Centers, inpatient and acute care), defining accountable treatment team, health information technology, and care transitions.
- Scope of Services – Provide the nine (9) required services listed above, as well as person-centered, family-centered, and recovery-oriented care.
- Quality and Other Reporting – Collection of required quality measures, a plan for quality improvement, and tracking of other program requirements.
- Organizational Authority and Governance – Consumer representation in governance, appropriate state accreditation.
CCBHCs are required to include implementation of data collection systems with functionalities that report access, quality, and scope of services using various types of data. Data will include CCBHC administrative data and personnel records, claims data, encounter data, patient records, and patient experience of care, as well as the costs and reimbursement of providing the required behavioral health services. Additionally, the State will support CCBHCs with preparing the data to inform and support continuous quality improvement processes and monitor the fidelity of evidence-based practices, person-centered, and recovery-oriented care during the CCBHC demonstration. Quality measure reporting requirements for the CCBHC demonstration can be reviewed in Appendix B of the CCBHC Certification Criteria.
1.02Program Goals and Anticipated Outcomes
The proposed project must demonstrate a thorough understanding and support of the grant program goals and outcomes anticipated by the Department.
The overarching goal for this program is to partner with DBH to fulfill all requirements for successful CCBHC implementation and to ensure access to high-quality and comprehensive behavioral health services for individuals living with or at risk of serious mental illness (SMI), serious emotional disturbance (SED), substance use disorders (SUD), and/or co-occurring mental health and substance use disorders (COD) across their lifespan.
Goals for the CCBHC implementation include:
- Develop the capacity to ensure compliance with all aspect of CCBHC Certification Criteria to include service provision either directly or through a Designated Collaborating Organization (DCO).
- Develop data system capacity and Electronic Health Record (EHR) interoperability to meet the data collection and reporting requirements for the CCBHC Demonstration program.
- Develop financial system capacity to produce necessary cost reports to establish CCBHC Prospective Payment System (PPS) rates, and meet billing, claims encounter data, and cost reporting requirements for the CCBHC Demonstration program.
- Achieve CCBHC Certification through the State of Alaska.
Anticipated outcomes for the CCBHC implementation include:
- Improved access to comprehensive behavioral health services
- Strengthened care coordination and integration of services
- Improved quality and effectiveness of outpatient behavioral health care
- Expanded workforce capacity and training
- Improved financial sustainability and efficiency
- Enhanced outreach and community engagement
- Improved outcomes and patient experience
Projects must meet or exceed anticipated minimum outcomes described in this RFP.
1.03Program Services/Activities
For all applicants:
- Complete CCBHC Certification Criteria Readiness Tool: Applicants must submit a completed, scored CCBHC Certification Criteria Readiness Tool in Attachment 1 with the application proposal indicating the self-assessment of their agency's readiness to become a CCBHC and must develop agency competency in the six (6) major CCBHC program requirements. Applicants must address any items from the Readiness Tool marked as a "Moderate Concern", "Quite a Bit of Concern", or "Serious Challenge", and describe a plan to mitigate them. Identify any additional areas of challenge your agency would face with these requirements and your proposed activities to address them in 1.03 Program Services/ Activities section.
- Applicants must describe current capability to produce cost reports, the financial software utilized for cost reporting, and staffing connected to this effort.
- Applicants must identify their current Electronic Health Record system and describe their current information technology infrastructure, and vendor responsiveness to potential needed changes. Also, for any proposed partner agencies (Designated Collaborating Organization or Federally Qualified Health Center), applicants must indicate plans for data sharing agreements to ensure necessary data can be obtained.
The below activities outlined in Section 1.03 are designed to assist subrecipients in developing the capacity to comply with state and federal guidelines for CCBHC certification, while also aligning with state objectives to ensure successful participation in and completion of all requirements for the CCBHC demonstration program.
- Partner with the DBH in all aspects of State CCBHC Implementation: Subrecipients are required to collaborate with DBH in all phases of the CCBHC Planning Grant including implementation and training throughout the Planning Timeframe.
- Subrecipients must participate in technical assistance and training: A CCBHC learning community will be created for the selected cohort, represented by each organization’s clinical leadership and direct service staff. Contractor(s) will be selected by DBH to create a series of intensive trainings to be delivered to the cohort based on identified and prioritized needs. Learning objectives and needs will be identified by: (a) participating providers, via the Readiness Tool and through meetings with clinic leadership at the start of the project; (b) the project team, based on the criteria for CCBHCs, to address gaps in knowledge and skills; and (c) consumers, families and other stakeholders, through the stakeholder engagement process.
- Complete and submit a Community Needs Assessment by October 30th, 2025: Subrecipients must complete and submit a Community Needs Assessment by October 30th, 2025, to complete a community assessment of the needs of the population(s) of focus in the catchment area (see CCBHC Certification Criteria) that addresses the availability and accessibility of services. Please see CCBHC Needs Assessment Toolkit for support in completing the required needs assessment. Input from people with lived experience of mental and substance use conditions, individuals who have received/are receiving services from the clinic and family members must be integrated into the assessment. Applicants may submit an existing community needs assessment with this application for approval if completed within the last 2 years. CCBHC needs assessment must address the following components:
- Population and demographic analysis,
- Mental health and substance use disorder prevalence and trends,
- Existing behavioral health services and service gaps,
- Access and barriers to care,
- Care Coordination and System integration,
- Stakeholder and Community input.
- Meet CCBHC Cost Reporting Requirements: Subrecipients must develop the capability to conduct agency cost reporting and billing for a Prospective Payment System (PPS) and meet CCBHC billing, claims encounter data, and cost reporting requirements.
- Development or enhancement of agency's data collection, tracking, and reporting capacity for GPRA and Quality measures and other reporting requirements for CCBHCs: Subrecipients must develop or enhance data collection, tracking, and reporting capacity for National Outcome Measures (NOMS) and Quality measures and other reporting requirements for the CCBHC Demonstration. Quality measure reporting requirements for the CCBHC Demonstration can be reviewed in Appendix B of the CCBHC Certification Criteria.
- Participate in CCBHC Steering Committee and/or workgroups: Subrecipients must have a representative in the agency leadership team or project director participate in the CCBHC Steering Committee, and/or workgroups which will meet monthly during the project period. The steering committee provides strategic oversight, guidance, and coordination to ensure the successful implementation and sustainability of the Certified Community Behavioral Health Clinic model. The committee is responsible for aligning CCBHC activities with state and federal requirements, fostering collaboration among stakeholders, and promoting continuous quality improvement in behavioral health services.
- Achieve State of Alaska CCBHC Certification by 06/30/26: Subrecipients must meet all requirements for State of Alaska CCBHC certification, complete the application process, and obtain state licensure as a CCBHC by 06/30/26.
- Subrecipients must affirmatively attest to their willingness and ability for continuing participation in the subsequent four (4) year Demonstration Project should the State of Alaska be selected.
Applicants will upload a timeline for the initiation of services and project activities.
Applicant proposals must describe the ways in which the project aligns with program intent. The submitted project proposal will identify agency resources available to the project; describe project activities; and clearly state the project’s anticipated goals, outputs, and outcomes.
1.04Program Evaluation Requirements and Reporting
The revised Federal Uniform Guidance 2 CFR 200 now requires that the State inform potential subrecipients via solicitation and resulting grant awards of all performance measures included in our Federal Award. An essential feature of this project is a strong performance evaluation and data collection protocol.
Subrecipients are required to collect and report the following performance measures in their quarterly program reports:
- The number and percentage of work group/advisory group/council members who are consumers/family members.
- The number of organizations collaborating/coordinating/sharing resources with other organizations because of the award.
- The number of organizational changes made to support improvement of mental health-related practices/activities that are consistent with the goals of the grant.
- The number of people in the mental health and related workforce trained in mental health-related practices/activities that are consistent with the goals of the grant.
The applicant's proposed evaluation plan will incorporate the performance measures of effectiveness and efficiency identified above. Applicants can propose additional performance measures for evaluating the project’s progress in achieving results supportive of program goals and outcomes.
Grant Reporting
Required reporting will include:
- Cumulative Fiscal Reports recording overall grant and match expenditures by budget line; and
- Program Reports in the format prescribed by the program.
- DBH may, as prescribed by the program manager, request financial documentation regarding expenditures to ensure the utilization of funds are in accordance with the intention of this grant. At minimum, this will be an annual paper review. At most, this could coincide with quarterly reporting. Visits to the agency, whether in-person or virtually, may occur periodically to ensure compliance with the grant. A site visit will occur no more than once per year and will occur with at least one month’s notice.
1.05Target Population and Service Area
Applicants must clearly describe the population targeted by the project, including the area or communities that will be served. Proposals will be evaluated for compatibility with the program’s intended target population identified in this solicitation.
Target Population: The target population for the solicited services is individuals living with or at risk of serious mental illness (SMI), serious emotional disturbance (SED), substance use disorders (SUD), and/or co-occurring mental health and substance use disorders (COD) across the lifespan.
Service Areas and Communities: The service areas and communities requested for the services solicited for the proposed projects represent the full state of Alaska, including both urban and rural communities
The State of Alaska will work with one urban clinic and one rural clinic through two application groups: urban and rural. Population is based off the borough or census area population from the Alaska Population Estimates which defines the population estimates by borough, census area, and economic region. Urban areas, consists of boroughs/census areas with a population of 20,000 people or more. Rural areas, consists of boroughs/census areas with a population of 19,999 people or less. DBH will partner with one urban and one rural applicant to pursue Alaska CCBHC certification.
1.06Program Funding
Funds available for this program are anticipated to total Estimated funding for the State Fiscal year duration FY26 (July 1st, 2025-June 30th, 2026) will total $206,285.00 in CCBHC Planning Grant funds to be split between two awards.
Proposed Budget: The applicant must submit a budget proposal for the sole fiscal year of the project. The proposed budget detail and narrative will support the program's results-based service delivery and staffing requirements stated in this RFP.
Funding may be used for:
Costs associated with CCBHC program development and implementation and/or program evaluation in order to meet all aspects of CCBHC certification criteria, including but not limited to needs assessment, CCBHC EHR upgrades, CCBHC billing system upgrades, staffing requirements, staff training, technical assistance, peer to peer collaboration and learning opportunities tailored to the needs identified for each specific CCBHC.
The proposed budget will be fully compliant with the limitations described in this RFP, and those detailed in 7 AAC 78.160 (Costs). Regulations are provided under the GEMS Documents tab.
Resources specific to budgeting are also available under the GEMS Documents tab. The Department's Grant Budget Preparation Guidelines provide information and guidance about budget lines, cost detail groupings, and narrative requirements. Grantee User Manual Part I provides detailed instructions for entering a budget proposal in the chapter "Responding to a Solicitation."
Other Agency Funding: Prior to submitting a proposal, applicants are required to list all other agency funding received and applied for. This task must be completed by an Agency Power User in the Other Funding section of the Agency Administration tab. This is part of the pre-award risk assessment required under Uniform Guidance 2 CFR 200.
Indirect Costs: If the proposed budget includes indirect costs, 7 AAC 78.160(p) requires a copy of the agency's current federally approved Indirect Cost Rate Agreement. The agreement is to be uploaded in the Agency Administration tab. Lapsed agreements can be used if uploaded with the negotiating federal agency's written approval to continue using the rate until a new agreement is negotiated. If an agency has never entered into a federally approved Indirect Cost Rate Agreement or no longer has a federally approved agreement in place, the recently updated Federal Uniform Guidance 2 CFR 200 now allows that agency to budget the 15% De Minimis.
Payment for Services/Grant Income: If applicable to the services proposed in response to this solicitation, awarded grantees will have a Medicaid Provider Number or apply to obtain one, and will make reasonable effort to bill all eligible services to Medicaid and any other available sources of payment before seeking grant support for delivery of the proposed services. Department funds are the payer of last resort.
In the applicant’s proposed budget, anticipated receipts and expenditures for all grant income must be evident in the detail and narrative. Fiscal reports for awarded income generating projects will include the receipts and expenditure of all grant income.