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Medicaid CCBHC Services State Plan Amendment Coverage Template PRA Notice

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Summary

CMS published a Paperwork Reduction Act notice seeking public comments on the Medicaid Certified Community Behavioral Health Clinic (CCBHC) Services State Plan Amendment Coverage Template (CMS-10398 #45). The notice invites comments on burden estimates, necessity, utility, accuracy, and collection methods for this information collection request under OMB control number 0938-1148. Comments must be submitted by April 30, 2026.

What changed

CMS published a Federal Register notice under the Paperwork Reduction Act generic clearance process seeking public comments on a new information collection request for the Medicaid Certified Community Behavioral Health Clinic (CCBHC) Services State Plan Amendment Coverage Template. The notice summarizes the purpose, use, and burden associated with the collection, which relates to section 209 of the Consolidated Appropriations Act, 2024, amending section 1905 of the Social Security Act to establish optional CCBHC Medicaid coverage.

State Medicaid agencies and Certified Community Behavioral Health Clinics should monitor this PRA process. Interested parties may submit comments electronically via regulations.gov or by mail to CMS. The collection falls under the existing generic clearance approved by OMB on April 26, 2021, for Medicaid and CHIP State plan amendments, waivers, demonstrations, and reporting.

Archived snapshot

Apr 16, 2026

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Content

ACTION:

Notice.

SUMMARY:

On May 28, 2010, the Office of Management and Budget (OMB) issued Paperwork Reduction Act (PRA) guidance related to the “generic”
clearance process. Generally, this is an expedited process by which agencies may obtain OMB's approval of collection of information
requests that are “usually voluntary, low-burden, and uncontroversial collections,” do not raise any substantive or policy
issues, and do not require policy or methodological review. The process requires the submission of an overarching plan that
defines the scope of the individual collections that would fall under its umbrella. On October 23, 2011, OMB approved our
initial request to use the generic clearance process under control number 0938-1148 (CMS-10398). It was last approved on April
26, 2021, via the standard PRA process which included the publication of 60- and 30-day
Federal Register
notices. The scope of the April 2021 umbrella accounts for Medicaid and CHIP State plan amendments, waivers, demonstrations,
and reporting. This
Federal Register
notice seeks public comment on one or more of our collection of information requests that we believe are generic and fall
within the scope of the umbrella. Interested persons are invited to submit comments regarding our burden estimates or any
other aspect of this collection of information, including: the necessity and utility of the proposed information collection
for the proper performance of the agency's functions, the accuracy of the estimated burden, ways to enhance the quality, utility
and clarity of the information to be collected, and the use of automated collection techniques or other forms of information
technology to minimize the information collection burden.

DATES:

Comments must be received by April 30, 2026.

ADDRESSES:

When commenting, please reference the applicable form number (CMS-10398 #45) and the OMB control number (0938-1148). To be
assured consideration, comments and recommendations must be submitted in any one of the following ways:

  1. Electronically. You may send your comments electronically to http://www.regulations.gov. Follow the instructions for “Comment or Submission” or “More Search Options” to find the information collection document(s)
    that are accepting comments.

  2. By regular mail. You may mail written comments to the following address: CMS, Office of Strategic Operations and Regulatory Affairs, Division
    of Regulations Development, Attention: CMS-10398 #__/OMB control number: 0938-1148, Room C4-26-05, 7500 Security Boulevard,
    Baltimore, Maryland 21244-1850.

To obtain copies of a supporting statement and any related forms for the proposed collection(s) summarized in this notice,
please access the CMS PRA website by copying and pasting the following web address into your web browser: https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRAListing.

FOR FURTHER INFORMATION CONTACT:

William N. Parham at (410) 786-4669.

SUPPLEMENTARY INFORMATION:

Following is a summary of the use and burden associated with the subject information collection(s). More detailed information
can be found in the collection's supporting statement and associated materials (see
ADDRESSES
).

Generic Information Collections

  1. Title of Information Collection: Medicaid Certified Community Behavioral Health Clinic (CCBHC) Services State Plan Amendment Coverage Template; Type of Information Collection Request: New collection of information request; Use: On March 9, 2024, section 209 in Title I of Division G of the Consolidated Appropriations Act, 2024 (CAA, 2024) (Pub. L. 118-42)
    amended section 1905 of the Social Security Act (the Act) to establish a new, optional Certified Community Behavioral Health
    Clinic (CCBHC) State plan benefit at section 1905(a)(31), and as defined in section 1905(jj) of the Act. CCBHCs must be certified
    by the State Medicaid agency as meeting the most recent version of the CCBHC Certification Criteria (“the Certification Criteria”)
    and must submit ongoing data on the provision of services, such as data on service encounters and clinical outcomes, to the
    State or Secretary. The Certification Criteria that States use to certify CCBHCs establish a basic level of service at which
    CCBHCs should operate. The amendments to the Act as a result of the passage of the CAA, 2024 provide the authority for SPAs
    to add this optional Medicaid coverage. The attached template has been developed to simplify the SPA submission by adding
    the 1905(a)(31) CCBHC services benefit to their State plan. States submitting State plan pages adding optional coverage for
    the section 1905(a)(31) will be required to utilize and submit the template no later than the end of the quarter in which
    their effective date falls. Form Number: CMS-10398 #99 (OMB control number: 0938-1148); Frequency: One time and on occasion; Affected Public: State, Local, or Tribal Governments; Number of Respondents: 56; Total Annual Responses: 56; Total Annual Hours: 280. (For policy questions regarding this collection

    contact: Marlana Thieler at 410-786-6274.)

William N. Parham, III, Director, Division of Information Collections and Regulatory Impacts, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2026-07440 Filed 4-15-26; 8:45 am] BILLING CODE 4120-01-P

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Generic Information Collections Medicaid CCBHC Services State Plan Amendment Coverage Template

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Last updated

Classification

Agency
CMS
Published
April 30th, 2026
Comment period closes
April 30th, 2026 (14 days)
Instrument
Notice
Legal weight
Non-binding
Stage
Consultation
Change scope
Minor
Docket
CMS-2026-1519-0001

Who this affects

Applies to
Government agencies Healthcare providers
Industry sector
6211 Healthcare Providers
Activity scope
State plan amendments Medicaid coverage Information collection
Geographic scope
United States US

Taxonomy

Primary area
Healthcare
Operational domain
Regulatory Affairs
Topics
Public Health Mental Health

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